Martinsville Otolaryngology Associates, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101029048 Issued in VA

Legal business name

MARTINSVILLE OTOLARYNGOLOGY ASSOCIATES, INC

Practice address

435 Commonwealth Blvd E
Martinsville, VA 24112-2014

Phone

(276) 638-3743

Fax

(276) 638-3193

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Selman, M.DNPI 1881666857

Title

Owner

Phone

(276) 638-3743

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• John William Selman, M.D.

  • Specialist
  • Martinsville, VA
  • NPI 1881666857
  Authorized official Same address or phone

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1164617908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-638-3743",
            "fax_number": "276-638-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-638-3743",
            "fax_number": "276-638-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE OTOLARYNGOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SELMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-638-3743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101029048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006588930",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martinsville Family Medicine (Favero Family Practice)
• Martinsville Family Pharmacy
• Martinsville Henry County Coalition for Health and Wellness (MHC Community Dental Clinic)
• Martinsville Neurological Assoc., Inc
• Martinsville Optical Co., Inc.
• Martinsville Pharmacy Inc
• Martinsville Pharmacy Inc
• Martinsville Physical Therapy & Industrial Rehabilitation Inc
• Martinsville Physical Therapy and Industrial Rehabilitation
• Martinsville Physician Practices LLC

• Specialist in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.