Sidney Marvin Seltzer, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5618 Issued in SC

Practice address

9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143

Phone

(843) 820-2020

Fax

(843) 797-5512

NPI assigned

Oct 22, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ophthalmology Associates of Charleston

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1447314224
  NPD (past) Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1376732826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-820-2020",
            "fax_number": "843-797-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-820-2020",
            "fax_number": "843-797-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER",
        "first_name": "SIDNEY",
        "middle_name": "MARVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "5618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL2394",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1603",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1522",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Self, MD
• David Pratt Sellman, MD
• Derek Anthony Selmser
• Theran Jacob Selph Jr., MD
• Mindelle Kaplan Seltzer, M.ED., M.S.
• David Louis Semenoff, M.D.
• James Joseph Seminaroti, LCSW
• Nathan Christopher Seng, D.D.S.
• Katherine Seningen
• Senior Behavioral Group SC LLC

• Ophthalmology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.