Select Medical Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

243501 Issued in NC

Legal business name

SELECT MEDICAL SERVICES PLLC

Practice address

10931 Raven Ridge Rd Ste 115
Raleigh, NC 27614-6499

Phone

(919) 676-0202

Fax

(919) 676-0224

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer C Arata

Title

Manager

Phone

(919) 676-0202

Specialties & licenses 1

Addresses

Other names 1

• Select Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 9

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

• Sarah Evelyne Blackwood, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1790596161
  Medicare reassignment Care Compare group
• Sallie Elliott Corse, PA-C

  • Physician Assistant
  • Dunn, NC
  • NPI 1548707698
  Medicare reassignment Care Compare group
• Noah Aaron Kelly Greenblatt, PA-C

  • Physician Assistant
  • Fuquay Varina, NC
  • NPI 1245821560
  Medicare reassignment Care Compare group
• Reza John Hatefi, PAC

  • Physician Assistant
  • Wake Forest, NC
  • NPI 1114960036
  Medicare reassignment Care Compare group
• Susan Jane Horlick

  • Medical Physician Assistant
  • Wake Forest, NC
  • NPI 1871751321
  Medicare reassignment Care Compare group
• Emma West Rodts, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1932970506
  Medicare reassignment Care Compare group
• Russell Harrell, M.D.

  • Emergency Medicine Physician
  • Sanford, NC
  • NPI 1275571317
  Medicare reassignment NPD
• Daniel Nardi, PA-C

  • Medical Physician Assistant
  • Fayetteville, NC
  • NPI 1255971883
  Medicare reassignment
• Lauren Alexa Williams, PA-C

  • Physician Assistant
  • Pinehurst, NC
  • NPI 1588296826
  Medicare reassignment

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1124501085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-801-5142",
            "fax_number": "919-589-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-676-0202",
            "fax_number": "919-676-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "ARATA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-676-0202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "243501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Seidi
• Jonathan Kevin Seigel, M.D.
• Zachary D Seitz, PA-C
• Selah Counseling Services PLLC
• Christian Dale Selby, PA-C, ATC
• Haley Nicole Self, PA-C
• Jennifer Self
• Andrew Selfe, PA
• Elizabeth Stuenkel Selgrade, CO
• Sean Christopher Selig, M.D.

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.