JACLYN SELDERS (NPI# 1962858605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962858605 |
| Entity Type | Individual |
| Full Name | JACLYN SELDERS |
| Credential | PA-C |
| Practice Address |
5255 E Stop 11 Rd Suite 300 Indianapolis IN 46237-6340 |
| Practice Telephone | 3175284723 |
| Practice Fax Number | 3175284699 |
| Mailing Telephone | 3175284723 |
| Mailing Fax Number | 3175284699 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5255 E STOP 11 RD SUITE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851033 | Barbara Louise Bowers | Nurse Practitioner | 5255 E Stop 11 Rd, Ste 310, Indianapolis, IN 46237-6340 | 2005-06-20 |
| 1396289757 | Amanda Stocker | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-12-05 |
| 1609326008 | Sylvia Tawfik | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-10-10 |
| 1780056754 | Carolyn England | Physician Assistant | 5255 E Stop 11 Rd, 200, Indianapolis, IN 46237-6340 | 2015-10-29 |
| 1174916811 | Daniel Welty | Specialist/Technologist | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2015-03-05 |
| 1720484819 | Bethany A Snider | Physician Assistant | 5255 E Stop 11 Rd, Suite 200, Indianapolis, IN 46237-6340 | 2014-11-17 |
| 1336552496 | Sarah A Polacek | Physician Assistant | 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237-6340 | 2014-06-06 |
| 1255773610 | Cara Vivian Van Weelden | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2013-07-25 |
| 1912257825 | Lindsey Rush | Physician Assistant | 5255 E Stop 11 Rd, Ste. 200, Indianapolis, IN 46237-6340 | 2012-09-18 |
| 1205130606 | Jonathan B Richey | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2010-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on JACLYN SELDERS.
| 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.