DR. BERNARDINO D MARCELO (NPI# 1073510442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073510442 |
Entity Type | Individual |
Full Name | DR. BERNARDINO D MARCELO |
Credential | MD |
Practice Address |
4966 Highway 11w Rogersville TN 37857-6028 |
Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
Practice Telephone | 4232725600 |
Practice Fax Number | 4232721428 |
Mailing Telephone | 4232725600 |
Mailing Fax Number | 4232721428 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 18353 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3030079 | 05 |
Street Address |
4966 HIGHWAY 11W |
City | ROGERSVILLE |
State | TN |
Zip Code | 37857-6028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164427571 | Joseph C Alder Jr. | Family Medicine | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-06-14 |
1346524865 | Sarah S Kersey | Physician Assistant | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2011-10-03 |
1982845491 | Rebecca R Byrd | Social Worker | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2009-03-12 |
1457408833 | Kimberly S Kirkpatrick | Pharmacist | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2007-01-05 |
1033176532 | Joanne D Irvin | Nurse Practitioner | 4966 Highway 11w, Hawkins Medical Center, Rogersville, TN 37857 | 2006-04-27 |
1013917632 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-26 |
1003814708 | James F Shuck | Pharmacist | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-07 |
1295731404 | Josefina Q Marcelo | Family Medicine | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
1689687733 | Randall Paul Weaver | Social Worker | 101 Lena Drive, Hawkins Cn Mental Health Ctr, Rogersville, TN 37857 | 2006-08-13 |
1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
Find all providers in zip 37857 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073632774 | James David Surso | General Practice | 2975 Highway 101, Rogersville, AL 35652-6049 | 2007-03-27 |
1104200849 | First Med of Rogersville | General Practice | 482 Park Blvd, Suite 1, Rogersville, TN 37857-6927 | 2015-07-13 |
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Find all providers with the same taxonomy |
City | ROGERSVILLE |
Zip Code | 37857 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.