Selby Physicians Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34008255 Issued in OH

Legal business name

SELBY PHYSICIANS SERVICES INC

Practice address

1106 Colegate Dr
Marietta, OH 45750-1323

Phone

(740) 568-2048

Fax

(740) 568-2089

NPI assigned

May 17, 2006

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SELBY PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

Steve Smith

Title

President

Phone

(740) 568-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Selby Physicians SVCS Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Selby General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Marietta, OH
  • NPI 1386699197

  Member Of

  NPD member

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1982656641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-568-2048",
            "fax_number": "740-568-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-568-2048",
            "fax_number": "740-568-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELBY PHYSICIANS SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELBY PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-568-2040"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selby General Hospital (802 Wayne St Rural Health Clinic)
• Selby General Hospital
• Selby General Hospital (330 E 8th St Rural Health Clinic)
• Selby General Hospital (300 E 8th St Rural Health Clinic)
• Selby General Hospital (320 E 8th St Rural Health Clinic)
• Jenna Renee Senetra
• Paravasthu Seshachary, M.D.
• Tiffany Shafer
• Dore R Shafransky, DO
• Disha Shah, MD

• Family Medicine Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.