Active NPI
John Selinski, PA-C, AT, ATC
- Physician Assistant
- Washington, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601011980
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 Semi Medical Group
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
- Ascension Providence Rochester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001525 | MI | MD | Athletic Trainer |
| 5601011980 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Michigan Orthopaedic Surgeons, PLLC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Michigan Orthopaedic Surgeons PLLC | Past | 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
- jselinski311093@direct.hfhs.org
- john.selinski.1@9974.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Orthopaedic Surgery Physician
- Southfield, MI
- NPI 1306394309
-
- Orthopaedic Surgery Physician
- Auburn Hills, MI
- NPI 1295816460
-
- Obstetrics & Gynecology Physician
- Livonia, MI
- NPI 1891371118
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Durable Medical Equipment & Medical Supplies
- Shelby Township, MI
- NPI 1730838467
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.