NPIMap

Organization Active NPI

Foothills ENT, Inc

  • Otolaryngology Physician
  • Greenville, SC
National Provider Identifier
1306224035
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4693 Issued in SC
Legal business name
FOOTHILLS ENT, INC
Practice address
2 Roper Corners Cir
Greenville, SC 29615-4833
Phone
(864) 234-7815
Fax
(864) 234-7846
NPI assigned
May 14, 2015
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Thomas S Sellner, DONPI 1891953956
Title
Owner
Phone
(412) 779-2845

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
Otolaryngology Physician 207Y00000X 4693 SC Primary

Addresses

Primary practice location

2 Roper Corners Cir
Greenville, SC 29615-4833

Mailing address

2 Roper Corners Cir
Greenville, SC 29615-4833
Phone (864) 234-7815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150804005992 SC Part B Supplier - Clinic/Group Practice 4385958370 Receives reassigned benefits from 8 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

10 Enterprise Blvd
Ste 201
Greenville, SC 29615
Phone (864) 234-7815

Practitioners & affiliated clinicians

Practitioners 8

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": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1306224035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS ENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SELLNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-779-2845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.