DR. STEPHEN L SALCEDO (NPI# 1134100811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134100811 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN L SALCEDO |
| Credential | M.D. |
| Practice Address |
755 Boardman Canfield Rd P-2 Boardman OH 44512-4300 |
| Practice Telephone | 3307587084 |
| Practice Fax Number | 3307582099 |
| Mailing Telephone | 3307587084 |
| Mailing Fax Number | 3307582099 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 56229 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | COVENTRY HEALTH | 220720 | 01 |
| OH | DCA | 341570956 | 01 |
| OH | AETNA | 4257781 | 01 |
| OH | 0713400 | 05 | |
| OH | TOTAL HEALTHCARE | 071340013 | 01 |
| OH | HEALTH AMERICA | 32126 | 01 |
| OH | MEDICAL MUTUAL | 341570956 | 01 |
| OH | UNITED MEDICAL RESOURCES | 341570956 | 01 |
| OH | PRM | 996010852 | 01 |
| OH | GATEWAY HMO | 1546401 | 01 |
| OH | CIGNA | 6632038 | 01 |
| OH | HIGHMARK | 001716140 | 01 |
| OH | MEDICARE R.R. | 070002214 | 01 |
| OH | UNITED HEALTHCARE | 341570956 | 01 |
| OH | ANTHEM | 000000134251 | 01 |
| OH | ACORDIA | 341570956 | 01 |
| Street Address |
755 BOARDMAN CANFIELD RD P-2 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792115 | Frank Yannucci | Podiatrist | 755 Boardman Canfield Rd, Building F Unit 1, Boardman, OH 44512-4300 | 2005-07-01 |
| 1770940330 | David Hartman | Physical Therapy Assistant | 755 Boardman Canfield Rd, South Bridge West P1, Boardman, OH 44512-4300 | 2016-01-26 |
| 1093172868 | Advanced Chiropractic & Rehab, Inc. | Clinic/Center | 755 Boardman Canfield Rd, Suite P-1, Boardman, OH 44512-4300 | 2016-01-25 |
| 1659748846 | Advanced Cardiocare Inc | Internal Medicine | 755 Boardman Canfield Rd, Suite H2, Boardman, OH 44512-4300 | 2015-08-24 |
| 1780092064 | Adam Kagarise | Physical Therapist | 755 Boardman Canfield Rd, Building P Unit 1, Boardman, OH 44512-4300 | 2014-07-30 |
| 1184041626 | Ohio Naturopathic, LLC | Naturopath | 755 Boardman Canfield Rd, Suite D3, Boardman, OH 44512-4300 | 2014-03-22 |
| 1972933752 | Mussler Chiropractic & Wellness LLC | Chiropractor | 755 Boardman Canfield Rd, Bldg C2, Boardman, OH 44512-4300 | 2013-11-15 |
| 1871935221 | Samuel Joseph Lucurell | Massage Therapist | 755 Boardman Canfield Rd, Southbridge West Bld. P Unit 1, Boardman, OH 44512-4300 | 2013-07-26 |
| 1427398072 | Brent Baisch | Massage Therapist | 755 Boardman Canfield Rd, Suite P1, Boardman, OH 44512-4300 | 2013-02-19 |
| 1750625596 | Valentina Khoury Dubasik | Acupuncturist | 755 Boardman Canfield Rd, Suite D3, Boardman, OH 44512-4300 | 2012-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093020133 | Mariel Bird | Dermatology | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1184263675 | Sunkiss Essentials LLC | Dermatology | 2926 State Rd Ste 369, Cuyahoga Falls, OH 44223-1244 | 2019-12-31 |
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1144737560 | Robert Brody Md Co | Dermatology | 3461 Warrensville Center Rd Ste 101, Shaker Heights, OH 44122-5227 | 2018-01-08 |
| 1366893752 | Kirsten Dickinson | Dermatology | Cleveland Clinic 9500 Euclin Ave, Cleveland, OH 44195-1009 | 2016-06-27 |
| 1649629692 | Megan Ashley Jones-sheets | Dermatology | 75 Metro Place North, Suite 195, Dublin, OH 43017 | 2016-06-10 |
| 1275982746 | Samantha N Barry | Dermatology | 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242-6858 | 2016-06-06 |
| 1720433592 | Nitin Tiwari | Dermatology | 4439 State Route 159 Ste G50, Chillicothe, OH 45601-7202 | 2016-04-29 |
| 1487008751 | Kiyanna Marie Williams | Dermatology | 2049 E 100th St A Building, Cleveland, OH 44195-1014 | 2016-04-22 |
| 1336502038 | Jacqueline Graham | Dermatology | 566 White Pond Dr Ste E, Akron, OH 44320-1116 | 2016-03-30 |
| Find all providers with the same taxonomy | ||||
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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.