Individual provider Active NPI

Anthony William Sebastiano, D.O.

  • Family Medicine Physician
  • Ogema, MN
National Provider Identifier
1962448662
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8739 Issued in FL
Practice address
40520 County Highway 34
Ogema, MN 56569-9612
Phone
(218) 983-4300
Fax
(218) 983-6307
NPI assigned
Jun 21, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8739 FL Primary

Addresses

Primary practice location

40520 County Highway 34
Ogema, MN 56569-9612

Mailing address

40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080415000707 FL Practitioner - Family PracticePractitioner - Emergency Medicine 2163500224 Reassigns benefits to 1 organization
I20221109003117 TX Practitioner - Family Practice 2163500224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4289OHMDChiropractor
OS8739FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center CurrentSince Jul 23, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 1, 2023 Accepting new patients
Criticare Clinics Inc CurrentSince Jul 27, 2023 Accepting new patients
Pine Point Health Station Current Accepting new patients
Naytahwaush Health Center CurrentSince Jul 23, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 1, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
Inphynet South Broward LLC Family Medicine CurrentSince Nov 1, 2013 Accepting new patients
John Balko and Associates Inc Family Medicine PastSince Jan 1, 2000 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1962448662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIANO",
        "first_name": "ANTHONY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogema, MN

Sources for this page

Verify at the official NPI Registry.