Stanly T Selby, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8410 Issued in TX

Practice address

821 Jeffee Dr Annex a
Kermit, TX 79745

Phone

(325) 695-4030

Fax

(432) 586-9136

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
• Direct secure messaging: stanly.selby.1@6815.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938

  TX

  Medicare reassignment NPD
• Concho County Hospital District

  • Family Medicine Physician
  • Eden, TX
  • NPI 1134166226

  Family Medicine, TX

  Medicare reassignment NPD
• Concho County Hospital District

  • Rural Acute Care Hospital
  • Eden, TX
  • NPI 1326025701

  TX

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  TX

  Medicare reassignment NPD
• Fisher County Hospital District

  • Rural Health Clinic/Center
  • Rotan, TX
  • NPI 1104808112

  TX

  Medicare reassignment NPD
• Haskell County Hospital

  • Critical Access Hospital
  • Haskell, TX
  • NPI 1184607897

  TX

  Medicare reassignment NPD
• Muenster Hospital District

  • Emergency Medicine Physician
  • Muenster, TX
  • NPI 1972556009

  TX

  Medicare reassignment NPD
• Sutton County Hospital District

  • Critical Access Hospital
  • Sonora, TX
  • NPI 1831140979

  TX

  Medicare reassignment NPD
• Winkler County Hospital District

  • Critical Access Hospital
  • Kermit, TX
  • NPI 1730183658

  TX

  Medicare reassignment NPD
• Stanly T Selby, M.D.

  • Family Medicine Physician
  • Abilene, TX
  • NPI 1114111580

  Family Medicine

  NPD (past) Authorized official
• Concho County Hospital District

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1285637520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 INDUSTRIAL BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027929",
            "telephone_number": "325-695-4030",
            "fax_number": "325-695-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 JEFFEE DR ANNEX A",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "79745",
            "telephone_number": "325-695-4030",
            "fax_number": "432-586-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "STANLY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137995012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Phillips
• Wallace L Phillips, O.D.
• Abigail Canava Quiroz, FNP
• Hector Reyes Jr., MPH, MD
• Jenoveva Romo
• Senior Living Properties LLC
• Jazmin Torres, LAT
• Cecilia Towns
• Viral Patel Dental PC
• Wallace L Phillips

• All providers in Kermit, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.