Alexander Cole-Selvaggio, ANP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704287209 Issued in MI

Practice address

27101 Schoenherr Rd
Warren, MI 48088-4730

Phone

(586) 758-5800

Fax

(586) 758-5841

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By 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

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin Quiroga PCGroup PAC ID 3375675002, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acoleselvaggio1123622@direct.hfhs.org

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.

• Martin Quiroga PC

  • Clinic/Center
  • Warren, MI
  • NPI 1174849988
  Medicare reassignment Care Compare group NPD
• Warren Radiology, PC

  • Radiology Clinic/Center
  • Warren, MI
  • NPI 1093749616
  Medicare reassignment NPD
• Michigan Advanced Surgical Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Warren, MI
  • NPI 1033730098
  NPD (past)
• Zaki Anesthesia PLLC

  • Anesthesiology Physician
  • Warren, MI
  • NPI 1174039184
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Macomb Oakland Hospital

  dba St. John Macomb Oakland Hospital-Warren Campus

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  dba St John Macomb Oakland - Oakland Center

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1053737676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "586-758-5800",
            "fax_number": "586-758-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-758-5800",
            "fax_number": "586-758-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-SELVAGGIO",
        "first_name": "ALEXANDER",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704287209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cogswell, CO
• Darryl A Cohen, D.O.
• Jamie Cohen, LMT
• Ronald Stanley Cohen, D.P.M.
• Cole Vision Corporation
• Jesse A. Cole Jr.
• Taylor Cole
• William Scott Cole, LMSW
• Regina Denise Coleman, LLPC
• Wendell E Coleman

• Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.