Benson Selitsky, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5101005867 Issued in MI

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 581-2600

Fax

(313) 581-0228

NPI assigned

May 24, 2006

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Henry Ford Health Macomb-Oakland Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD (past)
• Lakeshore Mammography Center PC

  • Specialist
  • Clinton Township, MI
  • NPI 1508936311
  NPD (past)
• Prime Garden City Medical Group

  • Diagnostic Radiology Physician
  • Garden City, MI
  • NPI 1063512010
  NPD (past)
• Prime Garden City Medical Group

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1598179954
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1780639849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 STONECREST DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483022840",
            "telephone_number": "248-737-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-581-2600",
            "fax_number": "313-581-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELITSKY",
        "first_name": "BENSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101005867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "027698",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "120191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "300Q264480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HEALTH PLAN",
            "identifier": "57100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114445728",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5790032",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Crowley Segerson, M.D.
• Chelsey Seiler, MSW,LMSW
• Raminderjit Sekhon, M.D.
• Select Physical Therapy LLC
• Selectcare Solution LLC
• Timothy L. Sell, M.D.
• Dominic T Semaan, M.D.
• Amanda Semetko
• David Sengstock, MD
• Senior Alliance Inc

• Diagnostic Radiology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.