Active NPI
Martha S. Selonick, M.D.
- Cardiovascular Disease Physician
- Columbia, MD
National Provider Identifier
1861456741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0019676
- Practice address
- 8850 Columbia 100 Pkwy
Suite 301
Columbia, MD 21045-2374 - Phone
- (301) 560-4747
- Fax
- (301) 776-1725
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0019676 | MD | Primary |
Addresses
Primary practice location
8850 Columbia 100 Pkwy
Suite 301
Columbia, MD 21045-2374
Mailing address
7350 Van Dusen Rd
Ste 130
Laurel, MD 20707-5267
Phone (301) 560-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257651100 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0019676 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Feroz a Padder | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- mselonick23901@direct.umm.edu
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Laurel, MD
- NPI 1104925122
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1861456741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 VAN DUSEN RD",
"address_2": "STE 130",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075267",
"telephone_number": "301-560-4747",
"fax_number": "301-776-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 COLUMBIA 100 PKWY",
"address_2": "SUITE 301",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452374",
"telephone_number": "301-560-4747",
"fax_number": "301-776-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELONICK",
"first_name": "MARTHA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0019676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257651100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.