Active NPI
John William Selman, M.D.
- Specialist
- Martinsville, VA
National Provider Identifier
1881666857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101029048
- Practice address
- 435 Commonwealth Blvd E
Martinsville, VA 24112-2014 - Phone
- (276) 638-3743
- Fax
- (276) 638-3193
- NPI assigned
- Feb 3, 2006
- Last updated
- Jul 8, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101029048 | VA | Primary |
Addresses
Primary practice location
435 Commonwealth Blvd E
Martinsville, VA 24112-2014
Mailing address
1233 Lanier Rd
Martinsville, VA 24112-5211
Phone (276) 632-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006588930 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101029048 | VA | MD | Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Martinsville, VA
- NPI 1164617908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1881666857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 LANIER RD",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241125211",
"telephone_number": "276-632-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 COMMONWEALTH BLVD E",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122014",
"telephone_number": "276-638-3743",
"fax_number": "276-638-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMAN",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101029048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006588930",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.