Individual provider Active NPI

Jerrold L Selzer, MD

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1437191749
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10999 Issued in TN
Practice address
3739 Hixson Pike
Chattanooga, TN 37415-3520
Phone
(423) 875-0999
Fax
(423) 875-0896
NPI assigned
Jun 12, 2006
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10999 TN Primary

Addresses

Primary practice location

3739 Hixson Pike
Chattanooga, TN 37415-3520

Mailing address

3739 Hixson Pike
Chattanooga, TN 37415-3520
Phone (423) 875-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1437191749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153520",
            "telephone_number": "423-875-0999",
            "fax_number": "423-875-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153520",
            "telephone_number": "423-875-0999",
            "fax_number": "423-875-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELZER",
        "first_name": "JERROLD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "10999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.