DR. JERRY D SELL (NPI# 1730183591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730183591 |
| Entity Type | Individual |
| Full Name | DR. JERRY D SELL |
| Credential | M.D. |
| Practice Address |
506 S Main St Rockford OH 45882-9228 |
| Practice Telephone | 4193633008 |
| Practice Fax Number | 4193632093 |
| Mailing Telephone | 4193633008 |
| Mailing Fax Number | 4193632093 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 398291 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0349680 | 05 |
| Street Address |
506 S MAIN ST |
| City | ROCKFORD |
| State | OH |
| Zip Code | 45882-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851810212 | Lisa Renee Rolfes | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-09-16 |
| 1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
| 1053454314 | Van Wert Medical Services | Specialist | 506 S Main St, Rockford, OH 45882-9228 | 2007-02-15 |
| 1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| 1376144782 | Shane Hill Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2020-11-03 |
| 1952483455 | The Laurels of Rockford, Inc. | Durable Medical Equipment & Medical Supplies | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-10-20 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
| 1134421456 | Rockford Healthcare Group, Inc. | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2010-11-18 |
| 1679706642 | Parkway Local Schools | Local Education Agency (LEA) | 400 Buckeye St, Rockford, OH 45882-9267 | 2009-08-25 |
| 1154720407 | Tara May | Occupational Therapy Assistant | 400 Buckeye St, Rockford, OH 45882-9267 | 2014-08-21 |
| Find all providers in zip 45882 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910350 | Charity L Soles | Family Medicine | 4134 Ashwinton Way, Rockford, IL 61109-3273 | 2020-04-14 |
| 1306250543 | Camille Ryan | Family Medicine | 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 | 2014-06-16 |
| 1396991485 | Novella Ann Schafer | Family Medicine | 3719 Regal Ridge Circle, Rockford, IL 61114-6037 | 2008-08-08 |
| 1417139130 | Derek Lanier | Family Medicine | 8450 Brower Lake Rd Ne, Apt/suite, Rockford, MI 49341-9346 | 2007-12-04 |
| 1144414921 | Moses Godofredo Tomacruz | Family Medicine | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2007-09-05 |
| 1508077165 | Robert Dejonge Do PC | Family Medicine | 350 Northland Dr Ne, Rockford, MI 49341-1401 | 2007-05-25 |
| 1902018641 | Julie Stark | Family Medicine | 3475 So Alpine Rd, Physicians Immediate Care, Rockford, IL 61109-2604 | 2007-05-04 |
| 1205976024 | Mohammed Khaleeluddin | Family Medicine | 1729 Oak Park Drive, Rockford, IL 61107-5510 | 2007-02-08 |
| 1134273238 | Swedishamerican Hosptial | Family Medicine | 3906 N Main St, Suite A, Rockford, IL 61103-1679 | 2007-01-23 |
| 1194897223 | Niccole Ranz | Family Medicine | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2006-11-14 |
| Find all providers in ROCKFORD | ||||
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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.