Individual provider Active NPI

John Selinski, PA-C, AT, ATC

  • Physician Assistant
  • Washington, MI
National Provider Identifier
1679017198
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011980 Issued in MI
Practice address
12150 30 Mile Rd Ste 105
Washington, MI 48095-2035
Phone
(586) 336-7333
NPI assigned
Dec 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011980 MI Primary
Athletic Trainer 2255A2300X 2601001525 MI

Addresses

Primary practice location

12150 30 Mile Rd Ste 105
Washington, MI 48095-2035

Mailing address

20761 Mendocino Dr
Clinton Township, MI 48038-3342

Other practice location 1

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Other practice location 2

45816 Schoenherr Rd
Shelby Township, MI 48315-6028
Phone (586) 842-2400

Other practice location 3

30795 23 Mile Rd Ste 209
Chesterfield, MI 48047-5721
Phone (313) 916-2181

Other practice location 4

43251 Commons Dr
Clinton Township, MI 48038-1110
Phone (586) 759-4700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.selinski.1@9974.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103002351 MI Practitioner - Physician Assistant 4789031337 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

12150 30 Mile Rd
Suite 201
Washington Township, MI 48095-2035
Phone (586) 336-2380

15717 15 Mile Rd
Clinton Township, MI 48035-2101

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

45816 Schoenherr Rd
Shelby Township, MI 48315-6028
Phone (248) 714-1635

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2601001525MIMDAthletic Trainer
5601011980MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 16, 2024 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Apr 17, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 16, 2024 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients
Iha Olma Specialty 1 LLC Past Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

30795 23 Mile Rd
Ste 209
Chesterfield, MI 48047
Phone (586) 421-6000

43251 Commons Dr
Clinton Twp, MI 48038
Phone (586) 286-0610

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

67267 S Main St
Richmond, MI 48062
Phone (586) 336-7333

30575 Woodward Ave
Ste 100
Royal Oak, MI 48073
Phone (248) 280-8550

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

12150 30 Mile Rd
Ste 105
Washington Twp, MI 48095
Phone (586) 336-7333

Interoperability endpoints

  • Direct secure messaging: jselinski311093@direct.hfhs.org
  • Direct secure messaging: john.selinski.1@9974.direct.athenahealth.com
  • Direct secure messaging: jselinksi3064758@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1679017198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20761 MENDOCINO DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD STE 105",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952035",
            "telephone_number": "586-336-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30575 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730980",
            "country_code": "US",
            "telephone_number": "248-280-8550",
            "fax_number": "248-280-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30795 23 Mile Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480475721",
            "country_code": "US",
            "telephone_number": "313-916-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43251 Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381110",
            "country_code": "US",
            "telephone_number": "586-759-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELINSKI",
        "first_name": "JOHN",
        "credential": "PA-C, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011980",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.selinski.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "30575 Woodward Ave",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480730980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.