Thomas Edward Southerland, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4717 Issued in TX

Practice address

7807 Sendero Ridge Dr
Fair Oaks Ranch, TX 78015-4754

Phone

(210) 698-6411

NPI assigned

Feb 28, 2006

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947
  NPD (past)
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1114382918

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1881660819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 SENDERO RIDGE DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154754",
            "telephone_number": "210-698-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 SENDERO RIDGE DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154754",
            "telephone_number": "210-698-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Reeh, DPT
• Patti Rogers Ricker, LCSW
• Patricia Anne Ruiz, PH.D
• Seneca Therapy & Training, PLLC
• Kathleen Smith
• Angie Leigh Strickland, LMT
• Tammy Marek PLLC
• The Podiatry Group of South Texas, PA
• Mary Amanda Theiss
• Andrew Michael Vela, MD

• Family Medicine Physician in Fair Oaks Ranch, TX
• Providers in Fair Oaks Ranch, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.