Andrey P Seluzhitskiy (NPI# 1568452902, PAC ID# 1658351788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568452902 |
| PAC ID by PECOS | 1658351788 |
| Professional Enrollment ID | I20050909000816 |
| Full Name | Andrey P Seluzhitskiy |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Address |
8984 E Us Hwy 20 New Carlisle IN 46552-9038 |
| Phone Number | 5746548490 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779577937 |
| Number of Group Practice Members | 139 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150006 | LA PORTE HOSPITAL |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 8984 E Us Hwy 20, New Carlisle, IN 46552-9038 | 5746548490 | THE SOUTH BEND CLINIC LLP |
| 211 N Eddy St, South Bend, IN 46617-2808 | 5742348161 | THE SOUTH BEND CLINIC LLP |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Cassady | Family Medicine | The South Bend Clinic LLP | 4440 Portage Ave, South Bend, IN 46628-9570 |
| Kathryn Latimer Werda | Physical Therapy | The South Bend Clinic LLP | 301 E Day Rd, Mishawaka, IN 46545-3455 |
| Kelly M Losiniecki | Nurse Practitioner | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Robert Lee | Family Medicine | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Todd Rozycki | Dermatology | The South Bend Clinic LLP | 1802 Day Rd, Mishawaka, IN 46545-4329 |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Steven P Crowell | Internal Medicine | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Enrique E Infante | Obstetrics/gynecology | The South Bend Clinic LLP | 14950 State Rd, Suite 23, Granger, IN 46530-7564 |
| Ralph E Inabnit | Family Medicine | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Robert Gregory Credi | General Surgery | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Street Address |
8984 E US HWY 20 |
| City | NEW CARLISLE |
| State | IN |
| Zip | 46552-9038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Snyder | Nurse Practitioner | The South Bend Clinic LLP | 8984 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Joseph Offerle | Optometry | Eyecare Associates of Michiana LLC | 8984 U S 20, New Carlisle, IN 46552 |
| Linnea Marie Robbins Winters | Optometry | Eyecare Associates of Michiana LLC | 8984 U S 20, New Carlisle, IN 46552 |
| Laura Ann Hannon | Family Medicine | La Porte Clinic Company LLC | 8988 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| Kimberly K Pflughaupt | Nurse Practitioner | La Porte Clinic Company LLC | 8988 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| Iryna Cribley | Nurse Practitioner | La Porte Clinic Company LLC | 8988 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| City | NEW CARLISLE |
| Zip Code | 46552 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW CARLISLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrey P Seluzhitskiy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.