Tadd L Selby MD Adult & Pediatric Urology Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G79258 Issued in CA

Legal business name

TADD L SELBY MD ADULT & PEDIATRIC UROLOGY INC

Practice address

1166 Esplanade
Suite 3
Chico, CA 95926-3360

Phone

(530) 898-1201

Fax

(530) 893-1939

NPI assigned

Feb 22, 2010

Last updated

Sep 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tadd L Selby, MDNPI 1699700377

Title

President

Phone

(530) 893-0771

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Tadd Leigh Selby, M.D.

  • Urology Physician
  • Chico, CA
  • NPI 1699700377
  Medicare reassignment NPD Authorized official
• Emily C Hartmann, MD

  • Plastic Surgery Physician
  • Chico, CA
  • NPI 1922263896
  NPD (past)

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1326360033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 ESPLANADE",
            "address_2": "SUITE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263360",
            "telephone_number": "530-893-0771",
            "fax_number": "530-893-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 ESPLANADE",
            "address_2": "SUITE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263360",
            "telephone_number": "530-898-1201",
            "fax_number": "530-893-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADD L SELBY MD ADULT & PEDIATRIC UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "TADD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-893-0771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G79258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "DQ8534",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Szlosi
• Morgan Szymczak, LMFT
• Ta Shanne Horn Licensed Clinical Social Worker Inc (Dynamic Hearts Therapy)
• Table Mountain Physical Therapy, Inc
• Devin Richard Tacla, MS, ATC
• Alina Raquel Tadeo, RDH
• William J. Taetzsch,, PH.D
• Taiji Kawazu, M.D.
• Gagan Takhar
• Leila Nicole Talison, LVN II

• Urology Physician in Chico, CA
• Providers in Chico, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.