Active NPI
Kenneth Selbst, M.D.
- Obstetrics & Gynecology Physician
- Plantation, FL
National Provider Identifier
1154396125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0025889
- Practice address
- 10045 Cleary Blvd
Plantation, FL 33324-1063 - Phone
- (954) 474-2229
- Fax
- (954) 462-0356
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0025889 | FL | Primary |
Addresses
Primary practice location
10045 Cleary Blvd
Plantation, FL 33324-1063
Mailing address
10045 Cleary Blvd
Plantation, FL 33324-1063
Phone (954) 474-2229
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME25889 | FL | MD | Cardiovascular Disease Physician |
| ME0025889 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154396125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10045 CLEARY BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241063",
"telephone_number": "954-474-2229",
"fax_number": "954-462-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10045 CLEARY BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241063",
"telephone_number": "954-474-2229",
"fax_number": "954-462-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBST",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0025889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.