Selcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01027862A Issued in IN

Legal business name

SELCARE LLC

Practice address

5010 Davis Lant Dr
Evansville, IN 47715-8947

Phone

(812) 853-5864

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeff W Selby

Title

MBR

Phone

(812) 853-5864

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shauntrece C Deters, FNP

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1972813780
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1801171004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 DAVIS LANT DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 DAVIS LANT DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158947",
            "telephone_number": "812-853-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "812-853-5864",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01027862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Seitz
• Jordan Nicole Sejuela
• Caryn Marie Selby, PA-C
• Thomas D Selby, M.D.
• William Selby, DO
• Select Specialty Hospital - Evansville LLC
• Select Specialty Hospital - Evansville, LLC
• Audrey Jane Selke, P.T.
• Ralph A Sellers II, MD
• Amy Rena Sellers, PT

• Primary Care Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.