Dr. Jerry D Sell
Family Medicine

Address: 506 S Main St, Rockford, OH 45882-9228
Phone: 4193633008

Dr. Jerry D Sell (NPI# 1730183591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1730183591
Entity Type Individual
Full Name Dr. Jerry D Sell
Credential M.D.
Gender Male
Practice Address 506 S Main St
Rockford
OH 45882-9228
Practice Telephone 4193633008
Practice Fax Number 4193632093
Mailing Address 506 S Main St
Rockford
OH 45882-9228
Mailing Telephone 4193633008
Mailing Fax Number 4193632093
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-06-09
Last Update Date 2016-08-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 398291 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH 0349680 MEDICAID

Physician Overview

NPI 1730183591
PAC ID by PECOS 7416977756
Professional Enrollment ID I20100721000308
Full Name Jerry Dwight Sell
Organization Legal Name VAN WERT MEDICAL SERVICES LTD
Phone Number 4193633008
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1976
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 5799707402
Number of Group Practice Members 29
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360071 VAN WERT COUNTY HOSPITAL

Office Location

Street Address 506 S MAIN ST
City ROCKFORD
State OH
Zip Code 45882-9228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851810212 Lisa Renee Rolfes Nurse Practitioner 506 S Main St, Rockford, OH 45882-9228 2017-09-16
1871798892 Norman D Means Family Medicine 506 S Main St, Rockford, OH 45882-9228 2007-06-19
1053454314 Van Wert Medical Services Specialist 506 S Main St, Rockford, OH 45882-9228 2007-02-15
1275537045 Rona M. Dellinger Nurse Practitioner 506 S Main St, Rockford, OH 45882-9228 2005-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366531444 John K Granger Dentist 160 E Walnut St, Rockford, OH 45882-0314 2006-10-12
1205881661 The Laurels of Rockford, Inc. Nursing Facility/Intermediate Care Facility 10731 State Route 118, Rockford, OH 45882-8947 2006-05-24
1952483455 The Laurels of Rockford, Inc. Durable Medical Equipment & Medical Supplies 10731 State Route 118, Rockford, OH 45882-8947 2006-10-20
1740600964 Matt Dapore Nursing Home Administrator 203 Buckeye St, Rockford, OH 45882-9266 2014-04-28
1811015951 Healthcare Management Counsultants, Inc Skilled Nursing Facility 201 Buckeye St, Rockford, OH 45882-9266 2007-03-27
1417369760 Colonial Healthcare LLC Skilled Nursing Facility 203 Buckeye St, Rockford, OH 45882-9266 2014-05-21
1134421456 Rockford Healthcare Group, Inc. Skilled Nursing Facility 201 Buckeye St, Rockford, OH 45882-9266 2010-11-18
1679706642 Parkway Local Schools Local Education Agency (LEA) 400 Buckeye St, Rockford, OH 45882-9267 2009-08-25
1154720407 Tara May Occupational Therapy Assistant 400 Buckeye St, Rockford, OH 45882-9267 2014-08-21
1811314305 Diane Otten Speech-Language Pathologist 400 Buckeye St, Rockford, OH 45882-9267 2014-03-24
Find all providers in zip 45882

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306250543 Camille Riddering Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 2014-06-16
1972820280 Kyle J Legrand Family Medicine 2400 N. Rockton Ave., Rmh-im Hospitalist Dept, Rockford, IL 61103-3655 2010-04-26
1396991485 Novella Ann Schafer Family Medicine 3719 Regal Ridge Circle, Rockford, IL 61114-6037 2008-08-08
1417139130 Derek Lanier Family Medicine 8450 Brower Lake Rd Ne, Apt/suite, Rockford, MI 49341-9346 2007-12-04
1144414921 Moses Godofredo Tomacruz Family Medicine 1502 Parkview Ave, Rockford, IL 61107-1821 2007-09-05
1508077165 Robert Dejonge Do PC Family Medicine 350 Northland Dr Ne, Rockford, MI 49341-1401 2007-05-25
1902018641 Julie Stark Family Medicine 3475 So Alpine Rd, Physicians Immediate Care, Rockford, IL 61109-2604 2007-05-04
1396879268 Nanci A Cherry Family Medicine 7419 Bell Harbour Dr, Rockford, IL 61114-6600 2007-03-15
1619000932 Lianne Holloway Family Medicine 2300 N. Rockton Ave, Rockford, IL 61103-3619 2007-03-14
1205976024 Mohammed Khaleeluddin Family Medicine 1729 Oak Park Drive, Rockford, IL 61107-5510 2007-02-08
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 45882

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Dataset Information

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.

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