DR. TERRELL LEE SELLERS (NPI# 1033373865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033373865 |
| Entity Type | Individual |
| Full Name | DR. TERRELL LEE SELLERS |
| Credential | M.D |
| Practice Address |
100 N Johnson Mill Rd Midway UT 84049-6764 |
| Mailing Address |
1594 S. 705 E. Orem UT 84297 |
| Practice Telephone | 4356543700 |
| Practice Fax Number | 4356547111 |
| Mailing Telephone | 8013193432 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
293281-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
100 N JOHNSON MILL RD |
| City | MIDWAY |
| State | UT |
| Zip Code | 84049-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023204427 | Gloria E Anderson | Counselor | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2007-09-19 |
| 1427580448 | Acqua Medical LLC | Psychiatry & Neurology | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2017-03-29 |
| 1932595899 | Acqua Recovery LLC | Clinic/Center | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751965 | Kordine D Steinke | Community Health Worker | 1458 Oak Ln, Midway, UT 84049 | 2020-08-17 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1386017945 | Sabina Jolanta Boies | Physical Therapy Assistant | 1420 W Geneva Dr, Midway, UT 84049 | 2015-11-04 |
| 1386953578 | Henry A. Malus | Naturopath | 210 E. Main St., # 101, Midway, UT 84049 | 2010-10-05 |
| 1407187362 | Jack L Brauer | Dentist | 450 Bern Way, Midway, UT 84049 | 2010-01-15 |
| 1912152299 | Alpine Treatment Services, LLC | Substance Abuse Rehabilitation Facility | 375 Rainbow Lane, Midway, UT 84049 | 2008-11-30 |
| 1235152323 | Gary A Hafer | Specialist | 529 West 200 North, Midway, UT 84049 | 2006-07-26 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1174853485 | Gerald L Hayward | Family Medicine | 909 Kohler Ln, Midway, UT 84049-6001 | 2010-01-08 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| Find all providers in zip 84049 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089607 | Mat Ventures | Family Medicine | 8388 S Wasatch Blvd, Cottonwood Heights, UT 84121-6075 | 2020-03-26 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1033742994 | Mobile Vivitrol | Family Medicine | 46 N Foxhill Rd, North Salt Lake, UT 84054-3027 | 2020-02-19 |
| 1518516210 | Cuicui Zhang | Family Medicine | 8686 S 1300 E # L102l104, Sandy, UT 84094-1947 | 2019-09-05 |
| 1275034084 | Southern Utah Health & Recovery | Family Medicine | 260 W Saint George Blvd Ste 202b, St George, UT 84770-3792 | 2018-02-27 |
| 1003070111 | Robert Joel Bush | Family Medicine | 74 S 360 E, American Fork, UT 84003 | 2008-07-17 |
| 1376577049 | Sean Anthony Ponce | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2006-07-10 |
| 1538114889 | Daniel Clyde Cummings | Family Medicine | 694 N 1890 W Unit 44a, Provo, UT 84601-1327 | 2006-05-24 |
| 1457355869 | Charles Wesley Walton | Family Medicine | 11286 N Tamarack Dr, Highland, UT 84003-9595 | 2005-06-13 |
| 1174136113 | Amir Haskic | Family Medicine | 2870 E 3300 S, Salt Lake City, UT 84109-2821 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.