Sean D Wengroff, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L4167 Issued in TX

Legal business name

SEAN D WENGROFF, MD

Practice address

6409 Memorial Dr
Texas City, TX 77591-4017

Phone

(409) 935-5926

Fax

(409) 935-5840

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Sean D Wengroff, MD

Title

Owner

Phone

(409) 935-5926

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1891758462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293869",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780293869",
            "telephone_number": "409-935-5926",
            "fax_number": "409-935-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914017",
            "telephone_number": "409-935-5926",
            "fax_number": "409-935-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN D WENGROFF, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "WENGROFF",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-935-5926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0099KP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163371101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Beth Schwaab, RBT
• Charles Keener Scruggs, D.D.S.
• Erin Kathleen Seabolt, D.C.
• Philip Brian Seabolt, PAC
• Seabreeze Nursing and Rehabilitation LP
• Select Physical Therapy Texas Limited Partnership
• Select Physical Therapy Texas Limited Partnership
• Senior Connections of Texas, PLLC
• Farida Sewielam, DDS
• Taghi Shafie, M.D.

• Obstetrics & Gynecology Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.