Select Physicians Alliance

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SELECT PHYSICIANS ALLIANCE

Practice address

10002 Princess Palm Ave Ste 332
Tampa, FL 33619

Phone

(813) 571-7184

Fax

(813) 654-4695

NPI assigned

Sep 10, 2015

Organization subpart

Yes

Parent organization

SELECT PHYSICIANS ALLIANCEAs reported in NPPES

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

Authorized official

Name

Sheryl A Watts

Title

Coo

Phone

(813) 571-7184

Specialties & licenses 12

Addresses

Other identifiers 1

Part of

Select Physicians Alliance

Locations

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1912375742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE",
            "address_2": "STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33619",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27406 Cashford Cir",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335448199",
            "country_code": "US",
            "telephone_number": "813-994-8900",
            "fax_number": "855-388-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4655 Keysville Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346083516",
            "country_code": "US",
            "telephone_number": "352-688-0800",
            "fax_number": "352-688-0468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26853 Foggy Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446777",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Short Branch Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554425",
            "country_code": "US",
            "telephone_number": "813-944-8900",
            "fax_number": "855-388-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27415 Cashford Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446973",
            "country_code": "US",
            "telephone_number": "813-994-8900",
            "fax_number": "855-388-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELECT PHYSICIANS ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT PHYSICIANS ALLIANCE",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-571-7184"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Selby
• Terrie Lynn Selby, RPH
• Mark A Seldes, M.D.
• Select Physical Therapy Holdings, Inc.
• Select Physicians Alliance
• Select Physicians Alliance PL
• Select Physicians Surgery Centers
• Selectcare Health Plans, Inc.
• Selectcare of Texas, Inc.
• Mitchel Seleznick, MD

• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.