MR. THEODORE JOSEPH SELLNER II (NPI# 1154786754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154786754 |
| Entity Type | Individual |
| Full Name | MR. THEODORE JOSEPH SELLNER II |
| Credential | BA |
| Practice Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
| Practice Telephone | 6169400040 |
| Practice Fax Number | 6169408151 |
| Mailing Telephone | 6169400040 |
| Mailing Fax Number | 6169408151 |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1490 E BELTLINE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| 1447859343 | Dianee Green | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-21 |
| 1104425198 | Hans Jacob Stimac | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-20 |
| 1346848835 | Katherine D Westfall | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-15 |
| 1518564806 | Lisa Merkiel | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-08 |
| 1578178919 | Kevin Guggemos | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-12 |
| 1053926998 | Amber Kay Mcglynn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-08 |
| 1275147381 | Evan Shovels | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-04 |
| 1881207744 | Kendra Rose Coburn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-28 |
| 1881207108 | Sarah A Schulte | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558855460 | Lauire Ryan | Specialist/Technologist | 940 Monroe Ave Nw Unit 224, Grand Rapids, MI 49503-1458 | 2018-06-15 |
| 1457609182 | Thom Ritzema | Specialist/Technologist | 1490 Eaast Beltline Avenue, S. E., Grand Rapids, MI 49506 | 2012-08-28 |
| 1003101122 | Kasey Denise Meyer | Specialist/Technologist | 2135 Woodburn Dr Se Apt 2, Grand Rapids, MI 49546-4385 | 2011-06-16 |
| 1699060897 | Kirti Koche | Specialist/Technologist | 2493 Forest Meadows Ct Se, Grand Rapids, MI 49546-7931 | 2011-06-15 |
| 1952742488 | Jana Lea Van Enk | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2013-07-12 |
| 1639512338 | Jarmara Monquie Burton | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2013-04-11 |
| 1134460835 | Kathleen Kannar Freeman | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2013-03-06 |
| 1881930170 | Thomas Niedzwiecki | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2012-12-14 |
| 1093062135 | April Lynn Hart | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2012-08-08 |
| 1245587310 | Nicolas Paul Hutchens | Specialist/Technologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2012-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.