NPIMap

Individual provider Active NPI

Thomas S Sellner, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Greenville, SC
National Provider Identifier
1891953956
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
1467 Issued in SC
Practice address
2 Roper Corners Cir
Greenville, SC 29615-4833
Phone
(864) 234-7815
Fax
(864) 234-7846
NPI assigned
May 27, 2008
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 1467 SC Primary

Addresses

Primary practice location

2 Roper Corners Cir
Greenville, SC 29615-4833

Mailing address

2 Roper Corners Cir
Greenville, SC 29615-4833
Phone (864) 234-7815

Other identifiers 1

IdentifierTypeStateIssuer
014674MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000441 SC Practitioner - Otolaryngology 8123193778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills ENT IncGroup PAC ID 4385958370, 7 clinicians

Practice addresses (Care Compare)

2 Roper Corners Cir
Greenville, SC 29615-4833
Phone (864) 234-7815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4790AZMDDental Hygienist
1467SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills ENT, Inc CurrentSince Dec 28, 2020 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Pinnacle ENT & Allergy Consultants LLC PastSince Jul 1, 2019 Accepting new patients
West Valley Ear Nose and Throat PC PastSince Mar 16, 2017 Accepting new patients

Locations

2 Roper Corners Cir
Greenville, SC 29615
Phone (864) 234-7815

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1891953956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLNER",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "SC",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014674",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.