Johnathan Selley

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501005425 Issued in MI

Practice address

2046 S Cedar St
Imlay City, MI 48444-9606

Phone

(810) 721-7274

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Services Company USA, LLC

  dba Hearinglife

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Hearing Instrument Specialist

  NPD (past)
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD (past)

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1437516051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449606",
            "telephone_number": "810-721-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449606",
            "telephone_number": "810-721-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLEY",
        "first_name": "JOHNATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501005425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ross
• Lena M Rowland
• Maranda Rutkowskk
• Angelique Renee Sanders
• Sav on Home Healthcare Supply Inc
• Vinita D Shah, PT
• Elizabeth Stacey Simmons-Krenke
• Michelle L Simpson, NP
• Michael Joseph Smith Jr., PT/AT/DPT
• Amber Lynn Stabenau, MA, BCBA

• Hearing Instrument Specialist in Imlay City, MI
• Providers in Imlay City, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.