Dr. Samuel Thomas Selby

D.O. | Pediatric Emergency Medicine | Male

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Complete Profile:

Dr. Samuel Thomas Selby basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Samuel Thomas Selby
Credential :	D.O.
Gender :	Male

Business Address:

Dr. Samuel Thomas Selby address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	801 7th Ave Fort Worth, TX, 76104-2733 United States
Phone Number :	682-885-4095

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1114283652
NPI Entity Type :	Individual
First Enrolment Date :	10 Apr, 2012
Last Updated On :	09 Apr, 2021

Medicare Participation:

Dr. Samuel Thomas Selby participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4385963990
Medicare Enrollment ID :	I20180522000126
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2012
Accepts Medicare?	Yes. Dr. Samuel Thomas Selby accepts medicare insurance.

Group Practice Association:

Dr. Samuel Thomas Selby is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Samuel Thomas Selby is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Cook Childrens Physician Network	7719884584	201	801 7th Ave Fort Worth, TX - 761042733 Ph: 8178854000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Thomas Selby are as mentioned. Primary taxonomy code for Dr. Samuel Thomas Selby, D.O. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	E-9382	AR
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	R6899	TX

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 733784 Dallas, TX, 75373-3784 United States
Phone Number :	682-885-1860
Fax Number :	682-885-1396

Business Location:

Patients can refer following map for directions to Dr. Samuel Thomas Selby practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.