Individual provider Active NPI

Gregory Paul Selasky, MS, P.A.-C

  • Physician Assistant
  • Grafton, WV
National Provider Identifier
1417119736
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01351 Issued in WV
Practice address
1 Hospital PLZ
Grafton, WV 26354-1283
Phone
(304) 265-6416
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1351 WV
Physician Assistant 363A00000X 01351 WV Primary

Addresses

Primary practice location

1 Hospital PLZ
Grafton, WV 26354-1283

Mailing address

1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000429 WV Practitioner - Physician Assistant 2567537483 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grafton City Hospital, Inc.Group PAC ID 7719897263, 17 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-7406

Hospital & facility affiliations

  • Grafton City Hospital, Inc Hospital, Grafton, WV, CCN 511307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
01351WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Med Corp Cheat Lake Physicians CurrentSince May 1, 2014 Accepting new patients
Fayette Physician Network Inc Single Specialty CurrentSince Sep 19, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 1, 2014 Accepting new patients
Grafton City Hospital Inc Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
West Virginia University Hospitals Inc Single Specialty CurrentSince Aug 28, 2020 Accepting new patients
Stonewall Jackson Memorial Hospital Company Single Specialty CurrentSince Oct 23, 2020 Accepting new patients
Mid-Atlantic Retina Consultations, Inc. Single Specialty PastSince Nov 7, 1994 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

600 Suncrest Town Centre Dr
Ste 310
Morgantown, WV 26505
Phone (304) 598-2200

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1417119736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELASKY",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MS, P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1351",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.