Active NPI
Rosemary Celeste Lee Selinger, M.D.
- General Practice Physician
- Grants Pass, OR
National Provider Identifier
1104931120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12470
- Practice address
- 490 Portland Ave
Grants Pass, OR 97526-8846 - Phone
- (541) 476-7009
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12470 | OR | Primary |
Addresses
Primary practice location
490 Portland Ave
Grants Pass, OR 97526-8846
Mailing address
490 Portland Ave
Grants Pass, OR 97526-8846
Phone (541) 476-7009
Other names 1
- Tui Ha Li
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12470 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104931120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 PORTLAND AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975268846",
"telephone_number": "541-476-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 PORTLAND AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975268846",
"telephone_number": "541-476-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELINGER",
"first_name": "ROSEMARY",
"middle_name": "CELESTE LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "12470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TUI",
"last_name": "LI",
"middle_name": "HA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.