MR. NICHOLAS ROBERT SELISKAR (NPI# 1578182184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578182184 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS ROBERT SELISKAR |
| Credential | NP |
| Practice Address |
900 Cooper Ave Saginaw MI 48602-5182 |
| Mailing Address |
4092 Heathermoor Dr Saginaw MI 48603-1194 |
| Practice Telephone | 9895830000 |
| Mailing Telephone | 9899285202 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704276691 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
4704276691 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704276691 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 COOPER AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734135 | Kenneth C. Hanson Jr. | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2005-07-20 |
| 1356940738 | Libing Kathy Dong | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-18 |
| 1932706884 | Robert Austin Hammond | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-05 |
| 1689289456 | Nader Alaaeldin Refai | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-09 |
| 1649884958 | Justin Lee Bielby | Nurse Anesthetist, Certified Registered | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-03 |
| 1225640345 | Andrew Caminata | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-19 |
| 1043820137 | Zachary Scott Yaker | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
| 1265042279 | Trusha Patel | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
| 1699385914 | Michael Megaly | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-01 |
| 1992315345 | Sean-matthew Gogola Calo | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619332137 | Paul Ngugi | Nurse Practitioner | 3141 Cabaret Trl S, Saginaw, MI 48603-2200 | 2015-12-28 |
| 1598372195 | Christopher Terrence Benson | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-28 |
| 1205455300 | Matthew B Cabeliza | Nurse Practitioner | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-09 |
| 1457876492 | Melissa Marie Dean | Nurse Practitioner | 4701 Towne Centre Rd Ste 303, Saginaw, MI 48604-2833 | 2017-08-10 |
| 1841392602 | Sally Ann Lewis | Nurse Practitioner | 1500 Weiss St, Saginaw, MI 48602-5251 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
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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.