| Dr Larkin L Selman, MD | |
| 3155 Maplewood Avenue, Winston Salem, NC 27103 | |
| (336) 794-4372 | |
| (336) 659-2379 | 
| Full Name | Dr Larkin L Selman | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 3155 Maplewood Avenue, Winston Salem, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053367870 | NPI | - | NPPES | 
| 89751E | Medicaid | NC | |
| 897519E | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 39996 (North Carolina) | Primary | 
| Entity Name | Wake Forest University Health Sciences | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 | 
| Entity Name | Wake Forest Baptist Imaging Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972763357 PECOS PAC ID: 3173681681 Enrollment ID: O20081027000587 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Larkin L Selman, MD 3155 Maplewood Avenue, Winston Salem, NC 27103 Ph: (336) 794-4372 | Dr Larkin L Selman, MD 3155 Maplewood Avenue, Winston Salem, NC 27103 Ph: (336) 794-4372 | 
| Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
| Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
| Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197 | |
| Dr. Tatum S Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
| Jao Ou,  Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
| Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298 | |
| Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379 |