Individual provider Active NPI

Sarah Marie Selem, M.D.

  • Pediatrics Physician
  • Coral Gables, FL
National Provider Identifier
1770963399
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME134919 Issued in FL
Practice address
6920 Nervia St
Coral Gables, FL 33146-3615
Phone
(305) 667-0940
Fax
(305) 667-0938
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN# 21594 FL
Pediatrics Physician 208000000X ME134919 FL Primary

Addresses

Primary practice location

6920 Nervia St
Coral Gables, FL 33146-3615

Mailing address

6920 Nervia St
Coral Gables, FL 33146-3615
Phone (305) 667-0940

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME134919FLMDPediatrics Physician
TRN# 21594FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1770963399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 NERVIA ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463615",
            "telephone_number": "305-667-0940",
            "fax_number": "305-667-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 NERVIA ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463615",
            "telephone_number": "305-667-0940",
            "fax_number": "305-667-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEM",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN# 21594",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME134919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.