JEFF E SELLMAN (NPI# 1902035652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902035652 |
| Entity Type | Individual |
| Full Name | JEFF E SELLMAN |
| Credential | MD |
| Practice Address |
909 N Dale Mabry Hwy Tampa FL 33609-1251 |
| Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
| Practice Telephone | 8139789700 |
| Practice Fax Number | 8135586187 |
| Mailing Telephone | 8139789700 |
| Mailing Fax Number | 8135586187 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2017-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME116316 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1839045 | 01 |
| FL | AETNA | 5676909 | 01 |
| FL | RAILROAD MEDICARE | P01275217 | 01 |
| FL | AVMED | 365758 | 01 |
| FL | 009320300 | 05 | |
| FL | BCBS | 14Q85 | 01 |
| Street Address |
909 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530479 | Steven T Lyons | Orthopaedic Surgery | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2005-07-01 |
| 1518599877 | Eric Marohl | Physical Therapist | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2020-02-05 |
| 1619526753 | Florida Orthopaedic Institute Chiro Network, LLC | Chiropractor | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-09-11 |
| 1508418328 | Tram Pham | Nurse Practitioner | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-07-11 |
| 1144783630 | Rachel Tipton | Physician Assistant | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-04-11 |
| 1053884460 | Mario Munoz | Specialist/Technologist | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-01-08 |
| 1710474788 | Stephanie Lakay Clovinson | Nurse Practitioner | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2018-04-16 |
| 1962919670 | Tarik N Church | Specialist/Technologist | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2018-01-03 |
| 1174065296 | Jeffrey Michael Young | Physical Therapist | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2016-11-07 |
| 1245699297 | Stephanie Dyal Cooke | Nurse Practitioner | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174478 | John Sami Maarouf | Family Medicine | 301 Harbour Place Dr Unit 2007, Tampa, FL 33602-6808 | 2014-04-07 |
| 1114241213 | Jeffrey A Westerfield | Family Medicine | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2010-03-17 |
| 1851331797 | University Medical Service Association Inc | Family Medicine | 13330 Usf Laurel Dr, 5th Floor, Tampa, FL 33612-6601 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607484 | Black Stallion Walk-in and Exercise Medicine Clinics LLC | Family Medicine | 9955 Se Federal Hwy, Hobe Sound, FL 33455-4829 | 2020-04-13 |
| 1003371519 | Affordable Medical Clinic of Wellii | Family Medicine | 12773 Forest Hill Blvd Ste 1203, Wellington, FL 33414-4760 | 2019-02-08 |
| 1609391929 | Baptist Physician Group LLC | Family Medicine | 8880 Navarre Pkwy Ste 206, Navarre, FL 32566-3614 | 2017-08-08 |
| 1568997880 | Sports Medicine and Rehab Fitness | Family Medicine | 4405 Crooked Mile Rd, Merritt Island, FL 32952-6310 | 2017-04-24 |
| 1770037822 | Daniel Gonzalez | Family Medicine | 11050 Griffin Rd, Davie, FL 33328-3226 | 2016-08-06 |
| 1487091393 | Michelle Henne | Family Medicine | 5535 Cypress Gardens Blvd Ste 270, Winter Haven, FL 33884-2241 | 2013-05-31 |
| 1053678151 | Jonathan Paul Bonnet | Family Medicine | 4830 Nw 43rd St, M194, Gainesville, FL 32606-4401 | 2012-04-13 |
| 1891092862 | Ozaki, Inc. | Family Medicine | 1600 S Ocean Dr Apt 17d, Hollywood, FL 33019-2427 | 2011-02-28 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| 1588980346 | Sonia Isabel Millan Pinzon | Family Medicine | 120 Cypress Edge Dr Ste 207, Palm Coast, FL 32164-8454 | 2010-04-19 |
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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.