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Deactivated NPI 1023007549 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore K. Selkirk , MD

Pediatrics • Florence, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Selkirk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2005
NPI Deactivation Date June 18, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Selkirk, MD was a registered Pediatrics practicing in Florence, MA. Throughout an active medical career spanning 13 years, Dr. Selkirk provided care at the practice location at 190 NONOTUCK ST until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

190 Nonotuck St

Florence, MA 010621911

Telephone 4135846332
Fax 4135859086
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Florence, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Florence, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 27115

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Ian Modestow , DMD

Dentist - General Practice

NPI 1053381178

Doctor of Dental Medicine

Dr. Wayne Schweitzer , MD

Internal Medicine - Rheumatology

NPI 1215910708

Doctor of Medicine (M.D.)

Dr. Susan Schiffman , DDS

Dentist - General Practice

NPI 1275557902

Doctor of Dental Surgery

Ellen Putnam , CNM

Advanced Practice Midwife

NPI 1306066477

Certified Nurse Midwife

Dr. Edward Patton , MD

Obstetrics & Gynecology

NPI 1750350138

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 190 NONOTUCK ST, FLORENCE, MA 010621911 (Tel: 4135846332)

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Updated Business Mailing Address July 08, 2007

Registered at 190 NONOTUCK ST, FLORENCE, MA 010621911 (Tel: 4135846332)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE SELKIRK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #27115 in MA)

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Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023007549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: July 08, 2007
Deactivation Date: June 18, 2018

Mailing Address

190 Nonotuck St

Florence, MA 010621911

Phone: 4135846332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.