Jeffrey I Selwyn, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7825 Issued in AZ

Practice address

5255 E Williams Cir Ste 2020
Tucson, AZ 85711-7454

Phone

(520) 392-8400

Fax

(520) 393-3244

NPI assigned

Dec 1, 2005

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• P3 Health Partners Professional Services PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1265370282
  NPD
• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1588648760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E WILLIAMS CIR STE 2020",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117454",
            "telephone_number": "520-392-8400",
            "fax_number": "520-393-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELWYN",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "7825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0056650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "002000167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7528",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110046359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE/SECURE HORIZNS",
            "identifier": "98982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "658936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Sellner, PHARMD
• Colleen Sells
• Ann Marie Selsor, N.P.
• Joel Seltzer, MD
• Stephen M Seltzer, M.D.
• Marion J Selz, PH D
• Clarissa Michelle Sema, PHARMD, BCEMP
• Seminars for Healthcare Education, Inc
• Mariaelena Semko, LPC, NCC
• Shana Elizabeth Semmens, M.D.

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.