Organization Active NPI

John D Sellers DO PC

  • Gynecology Physician
  • Novi, MI
National Provider Identifier
1508049545
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
5101005955 Issued in MI
Legal business name
JOHN D SELLERS DO PC
Practice address
25500 Meadowbrook Rd
Ste 208
Novi, MI 48375-1845
Phone
(248) 471-0580
Fax
(248) 471-1763
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Beverly M Hamilton
Title
Office Manager
Phone
(248) 471-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 5101005955 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375-1845

Mailing address

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375-1845
Phone (248) 471-0580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1508049545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 208",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751845",
            "telephone_number": "248-471-0580",
            "fax_number": "248-471-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 208",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751845",
            "telephone_number": "248-471-0580",
            "fax_number": "248-471-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D SELLERS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-471-0580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "5101005955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.