MICHAEL W SELBY


Address: 2004 Sproul Rd, Broomall, PA 19008-3511
Phone: 6103530800

MICHAEL W SELBY (NPI# 1942723671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942723671
Entity Type Individual
Full Name MICHAEL W SELBY
Credential PA-C
Practice Address 2004 Sproul Rd
Broomall
PA 19008-3511
Practice Telephone 6103530800
Practice Fax Number 6103539480
Mailing Telephone 6103530800
Mailing Fax Number 6103539480
Enumeration Date 2017-07-25
Last Update Date 2017-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA059159 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL SELBY

NPI Name Taxonomy Address Enumeration
1841573441 Michael Paul Selby Pharmacist 4001 E 120th Ave, Thornton, CO 80233-1716 2011-09-21
1346494192 Michael Grant Selby Internal Medicine 202 E 50th St, Joplin, MO 64804 2008-11-06

Office Location

Street Address 2004 SPROUL RD
City BROOMALL
State PA
Zip Code 19008-3511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720053622 Stephen Todaro Physical Therapist 2004 Sproul Rd, Suite 100, Broomall, PA 19008-3511 2006-02-22
1396359139 Thomas Murrin Jr. Physician Assistant 2004 Sproul Rd, Broomall, PA 19008-3511 2020-08-31
1962868802 Marple Dental, Inc. Dentist 2004 Sproul Rd, Ste 304, Broomall, PA 19008-3511 2016-01-07
1013250059 Premier Orthopaedic and Sports Medicine Assoc Orthopaedic Surgery 2004 Sproul Rd, 1st Floor, Broomall, PA 19008-3511 2013-03-28
1275852782 Premier Orthopaedic and Sports Medicine Associates, Ltd Durable Medical Equipment & Medical Supplies 2004 Sproul Rd, Suite 100, Broomall, PA 19008-3511 2010-05-24
1710204144 Michael E Birns Orthopaedic Surgery 2004 Sproul Rd, Broomall, PA 19008 2010-04-25
1750503009 Seth M. Blitzer, Dmd, PC Dentist 2004 Sproul Rd, Suite 204, Broomall, PA 19008 2007-05-03
1457470833 Joshua Douglas Park Physician Assistant 2004 Sproul Rd, Broomall, PA 19008-3511 2007-03-28
1952429334 Andrew Goldenberg Dentist 2004 Sproul Rd, Suite 300, Broomall, PA 19008-3511 2007-03-26
1598883969 Ronald Scott Goldenberg Dentist 2004 Sproul Rd, Suite 300, Broomall, PA 19008-3511 2007-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275098964 Ashley Szewczuk Occupational Therapy Assistant 50 Malin Rd., Broomall, PA 19008 2019-02-06
1134647316 Bernadette Jacobs Registered Nurse Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 2017-09-07
1447780549 Laura Ann Jamison Physical Therapy Assistant 50 North Malin Road, Broomall, PA 19008 2017-06-13
1528596608 Lauren S. Burns Occupational Therapist 51 N Malin Rd., Broomall, PA 19008 2017-06-01
1558893024 Marc Belitsky D.c., .pc. Clinic/Center 2633 West Chester Pike, Broomall, PA 19008 2017-04-03
1053773390 Helen Richman Pharmacist 567 Sproul Road, Broomall, PA 19008 2016-03-25
1487028007 Jenelle Thomas Social Worker 85 N. Malin Road, Broomall, PA 19008 2015-11-19
1649654740 Akeesha M Washington Counselor 600 Abbott Drive, Broomall, PA 19008 2015-07-17
1821411976 Ketrin Kapllani Behavioral Analyst 475 Lawrence, Philadelphia, PA 19008 2014-01-27
1710325741 Joel Christopher Fusunyan-lee Registered Nurse 219 Sussex Blvd, Broomall, PA 19008 2013-06-12
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205450087 Mary Baich Physician Assistant 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 2020-06-08
1972145134 Emilie A Simone Physician Assistant 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 2019-10-09
1518524339 Nicholas Vernoy Smith Physician Assistant 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 2019-05-28
1689131757 Amanda Furst Physician Assistant 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 2019-02-26
1659845295 Alexis Kimes Physician Assistant 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 2019-01-16
1427530831 Jordan L Ball Physician Assistant 30 Hope Dr # 1200, Hershey, PA 17033-2036 2018-08-31
1740707298 Robyn Mcnamee Physician Assistant 142 Clearview Cir Ste 110, Butler, PA 16001-1565 2017-08-25
1831648336 Hollie Anne Ramaley Physician Assistant 624 E End Ave, Pittsburgh, PA 15221-3424 2016-09-25
1083169890 Ellen Cannon Physician Assistant 1023 Marlin Dr, West Chester, PA 19382-2360 2016-08-22
1295182491 Emily Tercek Physician Assistant 620 Howard Ave Fl 7, Altoona, PA 16601-4804 2016-05-17
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Competitor

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City BROOMALL
Zip Code 19008

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Dataset Information

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.

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