Jamie H Sellberg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00650 Issued in KS

Practice address

848 N Saint Francis St
Ste 2945
Wichita, KS 67214-3800

Phone

(316) 261-3130

Fax

(316) 261-3275

NPI assigned

Jul 8, 2006

Last updated

May 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Kansas Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1538153887
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1710910302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47572",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017572",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "STE 2945",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLBERG",
        "first_name": "JAMIE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340620B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sekler, LSCSW
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Select Specialty Hospital - Wichita Inc
• Patricia Self, PHD-CCC, SLP
• Rachael L Self
• Jodisia Sellers, LPN
• Krista Sellers, PTA
• Heather Renee' Sells, CNA, HHA,
• Alexandra Nicole Seltenreich, DDS
• Lesley Rae Selvidge, T-LMFT

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.