JOHN SELBY JR. (NPI# 1619911302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619911302 |
| Entity Type | Individual |
| Full Name | JOHN SELBY JR. |
| Credential | MD |
| Practice Address |
171 Ashley Ave Charleston SC 29425-0001 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
19708 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T38064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356662621 | John Christopher Selby | Dermatology | 200 Hawkins Dr, Department of Dermatology, Iowa City, IA 52242-1009 | 2010-06-21 |
| 1114058658 | John H. Selby Jr. | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2007-03-08 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801325550 | Antony Mikhail Gayed | Radiology | 169 Ashley Avenue Room 202, Msc 333, Charleston, SC 29425 | 2017-06-07 |
| 1689920878 | Kyle Alan Vanmiddlesworth | Radiology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2012-07-25 |
| 1194012914 | Ricardo Tadayoshi Barbosa Yamada | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-06-30 |
| 1740591098 | Vanessa Tavares P Silvino | Radiology | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2010-07-01 |
| 1396970323 | Andre Becker Uflacker | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2009-05-19 |
| 1790963684 | Marcelo Silveira Guimaraes | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-02-04 |
| 1992880181 | Ricardo De Olivaes Lacerda | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-10-26 |
| 1073556916 | Claudio Schonholz | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-06-14 |
| 1164469672 | Christopher Hannegan | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801115092 | Jonathan Robert Hinshelwood | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2010-05-27 |
| 1336311901 | Palmetto Health | Radiology | Taylor At Marion St, Columbia, SC 29220-0001 | 2008-03-24 |
| 1164583357 | Mppg, Inc. | Radiology | 7 Mallet Way, Bluffton, SC 29910 | 2006-12-12 |
| 1700998648 | Paresh Shah | Radiology | 3 Richland Medical Park Dr, Columbia, SC 29203-6849 | 2006-08-31 |
| 1336151729 | Julie U. Park | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-08-13 |
| 1225014657 | Carolina Radiology Associates LLC | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-12-18 |
| City | CHARLESTON |
| Zip Code | 29425 |
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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.