Organization Active NPI

Joel S Sellers DO LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1053476853
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
2213 Issued in AZ
Legal business name
JOEL S SELLERS DO LLC
Practice address
11851 N 51St Ave Ste F110
Glendale, AZ 85304-2827
Phone
(602) 588-4040
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Timothy Murphy
Title
VP Operations
Phone
(818) 880-8605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 2213 AZ Primary

Addresses

Primary practice location

11851 N 51St Ave Ste F110
Glendale, AZ 85304-2827

Mailing address

11851 N 51St Ave Ste F110
Glendale, AZ 85304-2827
Phone (602) 252-0859

National Provider Directory

National Provider Directory

Locations

1840 E Baseline Rd
Ste C1
Tempe, AZ 85283
Phone (480) 426-2667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1053476853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE F110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042827",
            "telephone_number": "602-252-0859",
            "fax_number": "602-247-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE F110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042827",
            "telephone_number": "602-588-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL S SELLERS DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "818-880-8605"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.