SELLHEYER, KLAUS F (MD)

Provider Demographics

• NPI: 1730146564
• Name: SELLHEYER, KLAUS F (MD)
• Entity type: Individual
• First Name: KLAUS
• Middle Name: F
• Last Name: SELLHEYER
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 1450 6TH ST SE
• Mailing Address - City: WINTER HAVEN
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33880-4505
• Mailing Address - Country: US
• Mailing Address - Phone: 863-293-2147
• Practice Address - Street 1: 1450 6TH ST SE
• Practice Address - City: WINTER HAVEN
• Practice Address - State: FL
• Practice Address - Zip Code: 33880-4505
• Practice Address - Country: US
• Practice Address - Phone: 863-293-2147
• Is Sole Proprietor?: No
• Enumeration Date: 2006-04-26
• Last Update Date: 2022-07-21

Provider Licenses

State	License ID	Taxonomies
FL	ME85014	207N00000X, 207ND0900X, 207N00000X, 207ND0900X
MD	D0072918	207N00000X, 207ND0900X
PA	MD419250	207N00000X, 207ND0900X
NC	2009-00315	207N00000X, 207ND0900X
SC	MD31565	207N00000X, 207ND0900X
NJ	25MA08906900	207ND0900X
GA	061517	207ND0900X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	207ND0900X	Allopathic & Osteopathic Physicians	Dermatology	Dermatopathology
No	207N00000X	Allopathic & Osteopathic Physicians	Dermatology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	009911168	Medicaid
AL	051542480	Other	BCBS
AL	009911217	Medicaid
AL	051542484	Other	BCBS
PA	001917781-0004	Medicaid
AL	009911216	Medicaid
AL	051542481	Other	BCBS
AL	009911169	Medicaid
AL	051542483	Other	BCBS
OH	2402868	Medicaid
AL	009911171	Medicaid
AL	051542482	Other	BCBS
AL	051542483	Other	BCBS
SC	AA59429282	Medicare PIN
DE	331251YWCL	Medicare PIN
AL	P00426307	Medicare PIN
MA	002161201	Medicare PIN
AL	009911168	Medicaid
AL	009911171	Medicaid
AL	009911216	Medicaid
MD	229171YEZK	Medicare PIN
PA	063370V4B	Medicare PIN
OH	2402868	Medicaid
PA	001917781-0004	Medicaid
NJ	217133YC40	Medicare PIN