Tara Selleck, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9119655 Issued in FL

Practice address

1111 Lincoln Rd Ste 375
Miami Beach, FL 33139-2407

Phone

(869) 497-4407

NPI assigned

Feb 18, 2025

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Female

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

Enrolled in FL

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

Specialty

Physician Assistant

Education

Temple University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://clearly.mmi.prod.fhir.ema-api.com/fhir/r4/

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.

• Schweiger Dermatology Group PA

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment Care Compare group
• Clearly Derm, LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1487947008
  NPD (past)

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1477358000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD STE 375",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392407",
            "telephone_number": "869-497-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD STE 375",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392407",
            "telephone_number": "869-497-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLECK",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "9119655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Segel, MD
• Holly Seigle, DPM
• Melissa Sue Seits, PA-C
• Christopher C. Selhorst, M.D.
• Marah Selim
• Senior Healthcare Services LLC
• Senior Living Medicaid Billing, LLC
• Senior Wellness Solution
• Carlos Antonio Sesin, M.D.
• Seth Gottlieb, M.D.,P.a.

• Dermatology Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.