Active NPI
Sean Trevathan, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- BP10053988
- Practice address
- 2401 S 31St St
Temple, TX 76508-0001 - Phone
- (254) 724-2111
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | BP10053988 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0001
Mailing address
12345 Lamplight Village Ave
Apt 915
Austin, TX 78758
Phone (409) 790-9739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10053988 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Alliance Pathology Consultants PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Sagis PLLC | Current | Accepting new patients | |
| Clear Lake Pathology Partners LTD | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| J S Wilkenfeld MD & Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Sagis, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1033 La Posada Dr
Ste 365
Austin, TX 78752
4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705
6441 Main St
Houston, TX 77030
Phone (713) 790-0500
7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115
4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010
110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276
10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kingwood, TX
- NPI 1699707943
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1881757458
-
- Anatomic Pathology & Clinical Pathology Physician
- Huntsville, TX
- NPI 1952385676
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1871630509
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1548549066
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1659031433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1871972406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 LAMPLIGHT VILLAGE AVE",
"address_2": "APT 915",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78758",
"telephone_number": "409-790-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVATHAN",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "BP10053988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
- Kristina Trembly, MSN, AGACNP-BC, RN
- Grace Laverne Trent, C.R.N.A.
- Maxine E. Trent, LPC/LMFT
- Tamara Ann Trent, L.M.S.W.
- Virginia Suzy Tresp, OTR
- Amanda Basto Trimm, PHARMD, BCPS
- Ajay Tripuraneni, MD
- Vidhi Manoj Trivedi, DMD
- Bradley R. Trotter, M.D.
- True Heart Hospice and Palliative Care of Texas LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.