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NPISignal

Individual Healthcare Provider

Crystal Dawn Seluk, D.O.

NPI Record: ActiveOtolaryngology
NPI1568689420
Kingsport, Tennessee

Provider's NPPES record last updated: July 21, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1568689420
Primary Specialty
Otolaryngology
Practice Location
Kingsport, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 12:33 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Allopathic & Osteopathic Physicians

    Primary

    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

    Taxonomy code 207Y00000X
  • Otolaryngology

    Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    An otolaryngologist who specializes in facial plastic surgery.

    Taxonomy code 207YS0123X

Provider-Reported License Information

Otolaryngology (Tennessee)
DO3225
Otolaryngology (Iowa)
4167
Otolaryngology (Nebraska)
804
Otolaryngology (Michigan)
5101016973
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

105 W Stone Dr Ste 4d

Kingsport, Tennessee 37660-3365

Phone: (423) 392-6299

Additional Practice Location

1 Edmundson Pl

Council Bluffs, Iowa 51503-4658

Phone: (712) 396-4130

Fax: (402) 396-4145

Record Information

Enumeration Date
April 19, 2007
Provider's NPPES Record Last Updated
July 21, 2022
NPISignal NPPES Dataset
August 2026

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