Eva Michelle Selhub, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

152152 Issued in MA

Practice address

824 Boylston St
Mind/Body Medical Institute
Chestnut Hill, MA 02467-2508

Phone

(617) 991-0102

Fax

(617) 991-0112

NPI assigned

May 19, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760436364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOPX 9142",
            "address_2": "MASS GENERAL PHYSICIANS ORGANIZATION INC",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOYLSTON ST",
            "address_2": "MIND/BODY MEDICAL INSTITUTE",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672508",
            "telephone_number": "617-991-0102",
            "fax_number": "617-991-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELHUB",
        "first_name": "EVA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "152152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3166104",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J17746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Scott, MD
• Sean M. Langton, DMD, PLLC
• Michael Myer Segal, MD
• Rebecca Sek
• Ronald A Seletsky, LSW, LMHC
• Brianna Semanchik
• Mary Frances Sennott, PNP
• Jennifer Servant
• Harvey Ashor Shaff, DMD
• Anar Shah, RD

• Internal Medicine Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.