Mark A Seldes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 100652 Issued in FL

Practice address

5471 W Waters Ave Ste 300
Tampa, FL 33634-1253

Phone

(813) 328-4120

Fax

(813) 328-4003

NPI assigned

Nov 3, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Injury Treatment Center Clinic of Tampa LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1821867516
  NPD Authorized official
• Injury Treatment Center of Florida, LLC

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114765195
  NPD Authorized official
• Florida Treatment Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1215665047
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1851382113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 W WATERS AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341253",
            "telephone_number": "813-328-4120",
            "fax_number": "813-328-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 W WATERS AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341253",
            "telephone_number": "813-328-4120",
            "fax_number": "813-328-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDES",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 100652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selah Psychiatry and Wellness Corp.
• Selah Wellness & Therapeutic Services, LLC
• Megan Lee Katz Selbst, M.D.
• Stephanie Elizabeth Selby
• Terrie Lynn Selby, RPH
• Select Physical Therapy Holdings, Inc.
• Select Physicians Alliance
• Select Physicians Alliance
• Select Physicians Alliance PL
• Select Physicians Surgery Centers

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.