DR. AMY JOY SELWACH (NPI# 1639538143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639538143 |
| Entity Type | Individual |
| Full Name | DR. AMY JOY SELWACH |
| Credential | DO, MBA |
| Practice Address |
870 N Cocoa Blvd Ste A Cocoa FL 32922-7588 |
| Mailing Address |
320 Carleton Dr Cocoa FL 32922-7008 |
| Practice Telephone | 3218668847 |
| Practice Fax Number | 9543518349 |
| Mailing Telephone | 9542574262 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS14936 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS14936 | FL | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | OS14936 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
870 N COCOA BLVD STE A |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767680 | Cereus Osteopathic Medicine LLC | Clinic/Center | 870 N Cocoa Blvd Ste A, Cocoa, FL 32922-7588 | 2020-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618503 | Pcn Health and Wellness, LLC | Neuromusculoskeletal Medicine & OMM | 2627 Ne 203rd St Ste 100a, Miami, FL 33180-1945 | 2020-08-07 |
| 1316412836 | Osteopathic Medical Arts Center of South Florida LLC | Neuromusculoskeletal Medicine & OMM | 3700 Washington St Ste 401, Hollywood, FL 33021-8249 | 2018-10-11 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1366974800 | Derek Christopher Murphy | Neuromusculoskeletal Medicine & OMM | 110 Alafaya Woods Blvd Ste C-2, Oviedo, FL 32765-4000 | 2017-04-03 |
| 1053611251 | Roger R. Verno, D.c.p.a. | Neuromusculoskeletal Medicine & OMM | 2620 N Australian Ave Ste 100, West Palm Beach, FL 33407-5626 | 2010-10-22 |
| 1427374354 | Nabeel Kouka | Neuromusculoskeletal Medicine & OMM | 2999 Ne 191st St Ste 260, Aventura, FL 33180-4925 | 2010-04-16 |
| 1104059005 | New Directions of Central Florida, LLC | Neuromusculoskeletal Medicine & OMM | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2009-08-26 |
| 1134357957 | Ramon G Lugo-sanchez | Neuromusculoskeletal Medicine & OMM | 2724 Sw 120th Ter, Miramar, FL 33025-0762 | 2009-07-01 |
| 1376702183 | Erik Michael Schabert | Neuromusculoskeletal Medicine & OMM | 4408 Nw 36th Ave, Gainesville, FL 32606-7215 | 2008-06-06 |
| 1366618522 | Dermagenesis Medspa, Inc. | Neuromusculoskeletal Medicine & OMM | 2700 Sw 194th Ter, Miramar, FL 33029-2483 | 2008-05-07 |
| 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.