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JOHN ELLIOTT SELICKMAN M.D. NPI 1659500585


NPI Information

NPI: 1659500585
Provider Name: JOHN ELLIOTT SELICKMAN, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
640 JACKSON ST
SAINT PAUL, MN
ZIP 55101
Phone: (651) 955-6311
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John Elliott Selickman, M.D. is a critical care medicine internal medicine in Saint Paul, MN with 15 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. John Elliott Selickman, M.D. NPI is 1659500585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101-502
Phone: (651) 955-6311

The NPI 1659500585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 9/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine55163MINNESOTANo
2207RP1001XInternal MedicinePulmonary Disease55163MINNESOTANo
3208M00000XHospitalist55163MINNESOTANo
4207RC0200XInternal MedicineCritical Care Medicine55163MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.