Active NPI
Mark Selis, BC-HIS
- Hearing Instrument Specialist
- Sarasota, FL
National Provider Identifier
1750712584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS 962
- Practice address
- 2620 S Tamiami TRL
Suite 101
Sarasota, FL 34239-4517 - Phone
- (941) 320-2122
- NPI assigned
- Dec 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS 962 | FL | Primary |
Addresses
Primary practice location
2620 S Tamiami TRL
Suite 101
Sarasota, FL 34239-4517
Mailing address
5042 Oxford Dr
Sarasota, FL 34242-1408
Phone (941) 320-2122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS 962 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Ears Hearing Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1750712584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5042 OXFORD DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342421408",
"telephone_number": "941-320-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S TAMIAMI TRL",
"address_2": "SUITE 101",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342394517",
"telephone_number": "941-320-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIS",
"first_name": "MARK",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS 962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.