Individual provider Active NPI

Jay Seligman, DO

  • Surgery Physician
  • Boone, IA
National Provider Identifier
1942377874
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO04863 Issued in IA
Practice address
1015 Union St
Boone, IA 50036-4821
Phone
(515) 433-8500
Fax
(515) 433-8951
NPI assigned
Nov 29, 2006
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO04863 IA Primary

Addresses

Primary practice location

1015 Union St
Boone, IA 50036-4821

Mailing address

1015 Union St
Boone, IA 50036-4821
Phone (515) 433-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bccsc@direct.boonehospital.kobledirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725000780 IA Practitioner - General Surgery 0648336701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Comprehensive Specialty CareGroup PAC ID 8022012293, 4 clinicians

Practice addresses (Care Compare)

1015 Union St
Boone, IA 50036-4821
Phone (515) 433-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO04863IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Comprehensive Specialty Care Surgery CurrentSince Aug 1, 2016 Accepting new patients
Boone County Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1015 Union St
Ste 119
Boone, IA 50036
Phone (515) 433-8500

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 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1942377874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-433-8500",
            "fax_number": "515-433-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-433-8500",
            "fax_number": "515-433-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGMAN",
        "first_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "DO04863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bccsc@direct.boonehospital.kobledirect.com",
            "affiliation": "N",
            "address_1": "1015 Union St",
            "city": "Boone",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500364821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.