Organization Active NPI

Scott Selco Professional Corporation

  • Vascular Neurology Physician
  • Henderson, NV
National Provider Identifier
1134437114
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
11189 Issued in NV
Legal business name
SCOTT SELCO PROFESSIONAL CORPORATION
Practice address
10001 S Eastern Ave Ste 410
Henderson, NV 89052-3908
Phone
(800) 975-2168
Fax
(702) 778-6455
NPI assigned
Sep 23, 2010
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Scott L. Selco, M.D.NPI 1881663763
Title
Owner/President/Physician
Phone
(800) 975-2168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 11189 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave Ste 410
Henderson, NV 89052-3908

Mailing address

10001 S Eastern Ave Ste 410
Henderson, NV 89052-3908
Phone (800) 975-2168

Other identifiers 1

IdentifierTypeStateIssuer
1881663763MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000444 NV Part B Supplier - Clinic/Group Practice 1951593342 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

10001 S Eastern Ave
Ste 409
Henderson, NV 89052
Phone (702) 616-5617

10001 S Eastern Ave
Ste 410
Henderson, NV 89052
Phone (702) 856-9961

4616 W Sahara Ave
#335
Las Vegas, NV 89102
Phone (702) 856-9961

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1134437114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 410",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "800-975-2168",
            "fax_number": "702-778-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 410",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "800-975-2168",
            "fax_number": "702-778-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SELCO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "SELCO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "800-975-2168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NV",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881663763",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.