Jerry D Sell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

398291 Issued in OH

Practice address

506 S Main St
Rockford, OH 45882-9228

Phone

(419) 363-3008

Fax

(419) 363-2093

NPI assigned

Jun 9, 2005

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.sell@454.chartlogic.direct-ci.com

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.

• Van Wert Medical Services

  • Specialist
  • Rockford, OH
  • NPI 1053454314
  NPD
• Van Wert Medical Services, LTD.

  • Family Medicine Physician
  • Van Wert, OH
  • NPI 1942268735
  NPD
• Van Wert Medical Services, LTD.

  • Clinic/Center
  • Van Wert, OH
  • NPI 1982107975
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1730183591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829228",
            "telephone_number": "419-363-3008",
            "fax_number": "419-363-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829228",
            "telephone_number": "419-363-3008",
            "fax_number": "419-363-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELL",
        "first_name": "JERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "398291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349680",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsell626373@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "506 S Main St",
            "city": "Rockford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458829228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Parkway Local Schools
• Rockford Al Opco LLC
• Rockford Healthcare Group, Inc.
• Rockford Opco LLC
• Lisa Renee Rolfes, RN, NP
• Shane Hill Divine Opco LLC
• Shane Hill Divine Opco LLC
• Shane Hill Rehabilitation and Nursing Center LLC
• The Laurels of Rockford, Inc.
• The Laurels of Rockford, Inc.

• Family Medicine Physician in Rockford, OH
• Providers in Rockford, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.