Abe Bradley Sellards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60907113 Issued in WA

Practice address

1806 W Lincoln Ave
Yakima, WA 98902-2473

Phone

(509) 452-4520

Fax

(509) 452-5224

NPI assigned

Aug 29, 2018

Last updated

Jan 24, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abe.sellards.1@32373.direct.athenahealth.com

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.

• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1265904247
  Medicare reassignment NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229
  Medicare reassignment
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023
  Medicare reassignment
• Exceptional Physicians Group Prescott Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Prescott, AZ
  • NPI 1720807670
  Medicare reassignment
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699
  Medicare reassignment
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1023970704
  NPD
• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1649967647
  NPD
• Exceptional Health Care Bullhead City LLC

  dba Exceptional Community Hospital Bullhead City

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  NPD (past)
• Exceptional Health Care Maricopa LLC

  dba Exceptional Community Hospital Maricopa

  • Special Hospital
  • Maricopa, AZ
  • NPI 1518539048
  NPD (past)
• Exceptional Health Care Prescott LLC

  • Special Hospital
  • Prescott, AZ
  • NPI 1396452108
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1023590825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-494-6700",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W LINCOLN AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022473",
            "telephone_number": "509-452-4520",
            "fax_number": "509-452-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLARDS",
        "first_name": "ABE",
        "middle_name": "BRADLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60907113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113643",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SE Wa Office of Aging & Long Term Care
• Linda D Seaman, MD
• Erin See, NP
• John Clay See, PMHNP-BC
• Amy Lynn Seely, M.A. CCC-SLP
• Blessing Selo Ojeme
• S. Daniel Seltzer, M.D.
• Lori Senger
• Lauren Andrelle Sensing
• Sequoia Physical Therapy PLLC

• Physician Assistant in Yakima, WA
• Providers in Yakima, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.

Verify at the official NPI Registry.