MR. ANDREW SELIG (NPI# 1336579374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336579374 |
| Entity Type | Individual |
| Full Name | MR. ANDREW SELIG |
| Credential | PA-C |
| Practice Address |
1673 Mason Ave Ste 305 Daytona Beach FL 32117-5516 |
| Practice Telephone | 3862747118 |
| Practice Fax Number | 3862746173 |
| Mailing Telephone | 3862747118 |
| Mailing Fax Number | 3862746173 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9107633 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107633 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010037100 | 05 |
| Street Address |
1673 MASON AVE STE 305 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720391568 | Ameneh Mashayekh | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2010-07-21 |
| 1689214975 | Joshua Nathaniel Jones | Physician Assistant | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2020-01-14 |
| 1336566330 | Jessica Riotti | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2014-03-27 |
| 1710230982 | Joshua Phillip Zeidenberg | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2012-10-24 |
| 1801153325 | Dana Amiraian | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144490 | Margaux Hill | Physician Assistant | 311 N Clyde Morris Blvd Ste 560, Daytona Beach, FL 32114-2766 | 2012-05-01 |
| 1700092095 | Gail Jean Wall | Physician Assistant | 431 South Keech Street, Halifax Health Keech Center, Daytona Beach, FL 32114-4623 | 2007-05-15 |
| 1700846912 | Gerald Siennicki | Physician Assistant | 350 N Ridgewood Ave, Daytona Beach, FL 32114 | 2006-03-23 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| 1063929123 | Jorge Alberto Navarro | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2018-01-10 |
| 1174066427 | Ryan Skerbetz | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-11-18 |
| 1174992648 | Jennifer Lynn Matey | Physician Assistant | 305 Memorial Medical Pkwy, Suite 501, Daytona Beach, FL 32117-5168 | 2015-09-15 |
| 1902281389 | Amy Rutherford | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-07-27 |
| 1881001162 | Kimberly W Stackpole | Physician Assistant | 311 N Clyde Morris Blvd, Suite 320, Daytona Beach, FL 32114-2781 | 2014-07-17 |
| 1992147771 | Jeremy Brenner | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-22 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on MR. ANDREW SELIG.
| 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.