Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Selena Ross

Individual provider Other Technician · NPI 1164978938

Selena Ross is an Undefined Non-Physician Type (Specify) in Hamtramck, Michigan. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1971 Yemans
Hamtramck, MI 48212-3242
Phone: (313) 305-7972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 171M00000X (OH)
Other Technician Taxonomy 247200000X

Record details

NPI number1164978938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address1971 Yemans St, Hamtramck, MI 48212-3242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Hamtramck