Peter Strom Selikoff, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

5933 Issued in AL

Practice address

6610 Curry Hwy
Jasper, AL 35503-5664

Phone

(205) 295-2020

Fax

(205) 295-2099

NPI assigned

Aug 31, 2006

Last updated

Jan 13, 2010By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1639281595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-295-2020",
            "fax_number": "205-295-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-295-2020",
            "fax_number": "205-295-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIKOFF",
        "first_name": "PETER",
        "middle_name": "STROM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "5933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005597",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5933",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Jill Saunders, N.P.
• Halie Melvina Savage, M.S., CCC-SLP
• Jill Scoles, PHARMD
• Ashley Hayes Seaborn, MS
• Angela Seals, CRNP
• Richard Anthony Sellers, ALC06191
• Emily Ivey Sentell, CCC-SLP
• Richard Daryl Shackleford, LMT
• Shades Valley Dermatology, LLC
• Shadescrest Health Care Center

• Urology Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Urology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.