Active NPI
Marlene Beth Seltzer, MD
- Obstetrics & Gynecology Physician
- Troy, MI
National Provider Identifier
1669478475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301069851
- Practice address
- 3920 W Big Beaver Rd
Ste 444
Troy, MI 48084-2903 - Phone
- (248) 816-9200
- Fax
- (248) 816-1017
- NPI assigned
- Jun 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301069851 | MI | Primary |
Addresses
Primary practice location
3920 W Big Beaver Rd
Ste 444
Troy, MI 48084-2903
Mailing address
3920 W Big Beaver Rd
Ste 444
Troy, MI 48084-2903
Phone (248) 816-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063-26432 | Other | MI | BCBS |
| P61834 | Other | MI | BLUE CARE NETWORK |
| C6301 | Other | MI | MCARE |
| G34926 | Other | MI | HAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301069851 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1669478475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 W BIG BEAVER RD",
"address_2": "STE 444",
"city": "TROY",
"state": "MI",
"postal_code": "480842903",
"telephone_number": "248-816-9200",
"fax_number": "248-816-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 W BIG BEAVER RD",
"address_2": "STE 444",
"city": "TROY",
"state": "MI",
"postal_code": "480842903",
"telephone_number": "248-816-9200",
"fax_number": "248-816-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTZER",
"first_name": "MARLENE",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301069851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "063-26432",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P61834",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C6301",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G34926",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.