PETER STROM SELIKOFF (NPI# 1639281595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639281595 |
| Entity Type | Individual |
| Full Name | PETER STROM SELIKOFF |
| Credential | M.D. |
| Practice Address |
6610 Curry Hwy Jasper AL 35503-5664 |
| Practice Telephone | 2052952020 |
| Practice Fax Number | 2052952099 |
| Mailing Telephone | 2052952020 |
| Mailing Fax Number | 2052952099 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5933 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | LICENSE | 5933 | 01 |
| AL | 000005597 | 05 |
| Street Address |
6610 CURRY HWY |
| City | JASPER |
| State | AL |
| Zip Code | 35503-5664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447776 | Smith Lake Family Care LLC | Nurse Practitioner | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2020-11-03 |
| 1952642092 | Joseph Thomas Williams Jr. | General Practice | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2013-03-14 |
| 1245571157 | Aleisha Dunagan | Nurse Practitioner | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2013-03-04 |
| 1447499090 | Smith Lake Urgent Care, LLC | Internal Medicine | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2009-02-05 |
| 1285832733 | Smith Lake Urgent Care, LLC | Clinic/Center | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356559843 | Boshell Family Chiropractic, P.C. | Chiropractor | 84 Hwy. 195, Ste. B, Jasper, AL 35503 | 2007-05-18 |
| 1003935198 | The Arc of Walker County | Clinic/Center | 745 Russell Dairy Road, Jasper, AL 35503 | 2007-03-28 |
| 1134263296 | Bowie's Priority Care Pharmacy, LLC | Pharmacy | 5100 Curry Highway, Suite 150, Jasper, AL 35503 | 2007-02-20 |
| 1154482560 | Corey S Hayes | Dentist | 5100 Curry Hwy, Ste 108, Jasper, AL 35503 | 2006-12-12 |
| 1093055287 | Brown's Discount Apothecary Bc, Inc | Pharmacy | 2965 Highway 195, Jasper, AL 35503-3840 | 2013-02-25 |
| 1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
| 1902074925 | Beaty Drug Company Inc | Durable Medical Equipment & Medical Supplies | 5558 Curry Hwy, Ste 9, Jasper, AL 35503-5845 | 2008-02-12 |
| 1770105835 | Erin Rebecca Glover | Pharmacist | 5558 Curry Hwy, Jasper, AL 35503-5845 | 2020-05-12 |
| 1073954004 | Curry Discant Pharmacy LLC | Pharmacy | 5558 Curry Hwy, Ste 9, Jasper, AL 35503-5845 | 2013-07-06 |
| 1497280549 | Bowies Express Care Pharmacy, LLC | Pharmacy | 5100 Curry Hwy Ste A150, Jasper, AL 35503-5865 | 2017-04-26 |
| Find all providers in zip 35503 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1811187420 | Kristopher Harper Gunn | Urology | 600 W 13th St, Suite 105, Jasper, IN 47546-1881 | 2007-07-30 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1811940679 | Alan Clayton Mccool | Urology | 3400 Highway 78 E Ste 412, Jasper, AL 35501-8952 | 2006-05-19 |
| 1457506172 | Bhc-jasper Urology Associates | Urology | 3400 Highway 78 E, Suite 412, Jasper, AL 35501-8907 | 2008-11-21 |
| 1235354424 | Georgia Urology Pa | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2007-04-15 |
| 1427134147 | Sequatchie Valley Urology LLC | Urology | 1000 Highway 28, Jasper, TN 37347-3638 | 2006-10-27 |
| 1417051590 | Joel A Rosenfeld | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2006-09-11 |
| 1235241100 | James Owen Moon | Urology | 3400 Highway 78 E, 412 Medical Arts Tower, Jasper, AL 35501-8907 | 2006-08-31 |
| 1376589499 | Richard Lawrence Levine | Urology | 980 Highway 28, Suite 201, Jasper, TN 37347-3695 | 2006-06-20 |
| Find all providers in JASPER | ||||
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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.