Rutherford Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RUTHERFORD DERMATOLOGY, PA

Practice address

651 Withrow Rd
Forest City, NC 28043-9695

Phone

(828) 288-1204

Fax

(828) 288-1205

NPI assigned

Oct 6, 2006

Last updated

Nov 2, 2010By 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

Linda Carol Selsor, M.D.NPI 1588751275

Title

Owner

Phone

(828) 288-1204

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Linda Carol Selsor, M.D.

  • Dermatology Physician
  • Forest City, NC
  • NPI 1588751275
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1366539041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-233-1354",
            "fax_number": "828-233-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WITHROW RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439695",
            "telephone_number": "828-288-1204",
            "fax_number": "828-288-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SELSOR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-288-1204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011RP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Lee Rudisill, PHARMD
• Rebecca Ruppe, PMHNP-BC
• Peter Criag Russ, M.D
• Rutherford County Chiropractic Center PA
• Rutherford County Schools
• Rutherford Hospital Inc (The Clinic at Walmart)
• Rutherford Hospital Inc (Rutherford Wound Care & Hyperbarics)
• Rutherford Hospital Inc. (OneSource Rehab)
• Rutherford Hospital, Inc. (Chase Family Care)
• Rutherford Hospital, Inc. (Forest City Family Care)

• Dermatology Physician in Forest City, NC
• Providers in Forest City, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.