Steven E Selub MD PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

ME60149 Issued in FL

Legal business name

STEVEN E SELUB MD PA

Practice address

2300 N Commerce Pkwy
Suite #313
Weston, FL 33326-3254

Phone

(954) 217-3400

Fax

(954) 217-3462

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven E Selub, M.D.NPI 1891775466

Title

Owner

Phone

(954) 217-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven E Selub, MD

  • Specialist
  • Weston, FL
  • NPI 1891775466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1780866848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 315",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263257",
            "telephone_number": "954-217-3400",
            "fax_number": "954-217-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY",
            "address_2": "SUITE #313",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263254",
            "telephone_number": "954-217-3400",
            "fax_number": "954-217-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E SELUB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "SELUB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-217-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME60149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054248200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Kayla Steinman
• Janice M Stephenson, M.D.
• Stepwell Health P.LLC
• Glenn Barry Sterling, M.D.
• Elizabeth A Steuerwald, LMHC
• Amanda Stevenson, RD
• Nina Marie Stevenson, OTR
• Daniel Robert Stewart, BCABA
• Amanda Z Stieglitz, DPT
• Kiarrah Q Stokes

• Preferred Provider Organization in Weston, FL
• Providers in Weston, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.