PETER G SELASSIE MD
NPI 1346298759
Specialist in Orange City, FL

Active since May 05, 2006
1061 MEDICAL CENTER DR, SUITE 110, ORANGE CITY, FL 32763(386) 774-1223(386) 774-4658 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter G Selassie Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER G SELASSIE MD (NPI 1346298759) is an individual specialist in Orange City, Florida, licensed in Florida (ME36870) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1346298759
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePETER G SELASSIECredential: MD
Location Address1061 MEDICAL CENTER DR, SUITE 110Orange City, FL 32763-8200
Mailing Address1061 Medical Center Dr, Suite 110Orange City, FL 32763-8200 · (386) 774-1223 · Fax (386) 774-4658
Fax(386) 774-4658
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateApril 23, 2010
NPI 1346298759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME36870
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1061 MEDICAL CENTER DR, Orange City, FL 32763

Other Identifiers 3

Medicare UPIND51284FL
Medicare PIN05419YFL
Medicaid069666800FL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
1061 MEDICAL CENTER DR
ORANGE CITY, FL 32763
Radiology (Diagnostic Ultrasound)
1061 MEDICAL CENTER DR, STE 201
ORANGE CITY, FL 32763
Urology
1061 MEDICAL CENTER DR, SUITE 300
ORANGE CITY, FL 32763
Physician Assistant (Medical)
1061 MEDICAL CENTER DR, SUITE 110
ORANGE CITY, FL 32763
Public Health or Welfare
1061 MEDICAL CENTER DR, SUITE 100
ORANGE CITY, FL 32763
Surgery
1061 MEDICAL CENTER DR, SUITE 305
ORANGE CITY, FL 32763
Internal Medicine
1061 MEDICAL CENTER DR, SUITE 101
ORANGE CITY, FL 32763
Psychiatry & Neurology (Neurology)
1061 MEDICAL CENTER DR
ORANGE CITY, FL 32763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Selassie's NPI number?

The NPI number for Peter Selassie is 1346298759. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Peter Selassie located?

Peter Selassie practices at 1061 Medical Center Dr Suite 110, Orange City, FL 32763. The listed phone number is (386) 774-1223.

What is Peter Selassie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peter Selassie was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.