Organization Active NPI

Richard Sellman MD PC

  • Pulmonary Disease Physician
  • Missoula, MT
National Provider Identifier
1659443638
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
8613 Issued in MT
Legal business name
RICHARD SELLMAN MD PC
Practice address
601 W Spruce St
Ste K
Missoula, MT 59802-4057
Phone
(406) 543-0550
Fax
(406) 543-6180
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Richard Lawrence Sellman Jr., M.D.NPI 1487837563
Title
Owner of Corporation
Phone
(406) 543-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 8613 MT Primary

Addresses

Primary practice location

601 W Spruce St
Ste K
Missoula, MT 59802-4057

Mailing address

PO Box 1656
Missoula, MT 59806-1656
Phone (406) 543-0550

Other identifiers 1

IdentifierTypeStateIssuer
0040375MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000412 MT Part B Supplier - Clinic/Group Practice 2365532835 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1659443638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1656",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061656",
            "telephone_number": "406-543-0550",
            "fax_number": "406-543-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SPRUCE ST",
            "address_2": "STE K",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024057",
            "telephone_number": "406-543-0550",
            "fax_number": "406-543-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SELLMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "SELLMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "406-543-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MT",
            "license": "8613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040375",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.