Organization Active NPI

Selwyn Picker Inc

  • Neurological Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1083676290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
36202 Issued in MO
Legal business name
SELWYN PICKER INC
Practice address
621 S New Ballas Rd
Suite 310a
Saint Louis, MO 63141-8232
Phone
(314) 251-6267
Fax
(314) 251-5871
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Selwyn Picker, MD
Title
President
Phone
(314) 251-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 36202 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 310a
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Suite 310a
Saint Louis, MO 63141-8232
Phone (314) 251-6267

Other identifiers 5

IdentifierTypeStateIssuer
25715OtherMOBLUE CROSS BLUE SHIELD
3175711001OtherMOCIGNA
34211OtherMOGROUP HEALTH PLAN
0600012OtherMOUNITED HEALTHCARE
131961OtherMOHEALTHLINK

National Provider Directory

National Provider Directory

Locations

621 S New Ballas Rd
Ste 310A
Saint Louis, MO 63141
Phone (314) 251-6267

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083676290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 310A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6267",
            "fax_number": "314-251-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 310A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6267",
            "fax_number": "314-251-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELWYN PICKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKER",
        "authorized_official_first_name": "SELWYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-251-6267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "36202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25715",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3175711001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "34211",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0600012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "131961",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.