Active NPI
Grayce Selig
- Medical Oncology Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD484045
- Practice address
- 255 W Lancaster Ave Ste 330
Paoli, PA 19301-1766 - Phone
- (484) 565-1600
- NPI assigned
- Apr 18, 2018
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Oncology Physician | 207RX0202X | MD484045 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave Ste 330
Paoli, PA 19301-1766
Mailing address
3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632
Other practice location 1
2301 Erwin Rd
Durham, NC 27710-4238
Phone (919) 613-1909
Other practice location 2
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (609) 560-0475
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 9196131909 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Suite 330
Paoli, PA 19301-1766
Phone (610) 786-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD484045 | PA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Hematology & Oncology | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
255 W Lancaster Ave
Ste 330
Paoli, PA 19301
Phone (484) 565-1600
255 W Lancaster Ave
Ste 330MOBW
Paoli, PA 19301
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Hematology & Oncology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1497242069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 W CHESTER PIKE STE 160",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732336",
"telephone_number": "484-337-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE STE 330",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011766",
"telephone_number": "484-565-1600"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277104238",
"country_code": "US",
"telephone_number": "919-613-1909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "609-560-0475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELIG",
"first_name": "GRAYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "MD484045",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "9196131909",
"affiliation": "N",
"address_1": "2301 Erwin Rd",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277054699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.