Active NPI
Stephen Lee Seldon, MD
- Medical Specialty Clinic/Center
- Las Vegas, NV
National Provider Identifier
1861572802
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Nov 18, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- NV7343
- Practice address
- 4440 S Eastern Ave
Las Vegas, NV 89119-7825 - Phone
- (702) 735-4201
- Fax
- (702) 735-4106
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NV7343 | NV | Primary |
Addresses
Primary practice location
4440 S Eastern Ave
Las Vegas, NV 89119-7825
Mailing address
4440 S Eastern Ave
Las Vegas, NV 89119-7825
Phone (702) 735-4201
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV7343 | NV | MD | Medical Specialty Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wikler Family Practice Associates Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Henderson, NV
- NPI 1366638413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861572802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197825",
"telephone_number": "702-735-4201",
"fax_number": "702-735-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197825",
"telephone_number": "702-735-4201",
"fax_number": "702-735-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELDON",
"first_name": "STEPHEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NV",
"license": "NV7343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.