PEDRO T. SALCEDO, M.D.,PLC (NPI# 1235515206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235515206 |
| Entity Type | Organization |
| Organization Name | PEDRO T. SALCEDO, M.D.,PLC |
| Practice Address |
311 Landrum Pl Suite 200 Clarksville TN 37043-6319 |
| Mailing Address |
Po Box 3749 Clarksville TN 37043-3749 |
| Practice Telephone | 9319068818 |
| Practice Fax Number | 9319068898 |
| Mailing Telephone | 9319068818 |
| Mailing Fax Number | 9319068898 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MARISSA PULANCO SALCEDO (OFFICE MANAGER) |
| Authorized Official Telephone | 9319068818 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDRO T. SALCEDO,M.D.,PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MD28194 | TN | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3802904 | 05 |
| Street Address |
311 LANDRUM PL SUITE 200 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242637 | Julie A Strey | Specialist/Technologist | 311 Landrum Pl, Suite 600, Clarksville, TN 37043-6319 | 2006-08-17 |
| 1912452590 | Dixie Pharmacy-3 LLC | Pharmacy | 311 Landrum Pl, Suite 600-a, Clarksville, TN 37043-6319 | 2016-08-24 |
| 1275934895 | Terry S Holt | Nurse Practitioner | 311 Landrum Pl, Suite 700, Clarksville, TN 37043-6319 | 2014-09-15 |
| 1851728430 | Kca Neurology, Pllc | Specialist | 311 Landrum Pl, Suite B400, Clarksville, TN 37043-6319 | 2013-09-27 |
| 1366798951 | Pamela Ashburn | Nurse Practitioner | 311 Landrum Pl, Suite A500, Clarksville, TN 37043-6319 | 2012-08-01 |
| 1982999694 | Denise Renee Tittle | Family Medicine | 311 Landrum Pl, Clarksville, TN 37043-6319 | 2011-06-10 |
| 1588857437 | Cardiology Associates LLC | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2007-08-23 |
| 1144433376 | John K. Endsley, Md, PC | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2007-05-07 |
| 1831262385 | Jatin K Kadakia | Anesthesiology | 311 Landrum Pl, Suite 700, Clarksville, TN 37043 | 2006-11-15 |
| 1548333099 | Clarksville Pulmonary & Critical Care, PC | Anesthesiology | 311 Landrum Pl, Suite 700, Clarksville, TN 37043 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1821617671 | Master Remodelers LLC | Point of Service | 10820 Kingston Pike Ste 5, Knoxville, TN 37934-3065 | 2020-04-13 |
| 1477089910 | Laser Aesthetics Body and Wellness | Point of Service | 9755 Highway 64, Suite 101, Arlington, TN 38002-8579 | 2017-05-03 |
| 1518499771 | Tuesday and Company, Inc. | Point of Service | 502 N Garden St, Suite 104, Columbia, TN 38401-3238 | 2017-03-28 |
| 1134673437 | Dearing Physical Medicine | Point of Service | 201 Rosa Helm Way, Franklin, TN 37067-8408 | 2016-08-04 |
| 1386008753 | Spirit of Service Counseling & Wellness Center, LLC | Point of Service | 3568 Kearney Ave, Memphis, TN 38111-5743 | 2016-04-11 |
| 1093110546 | Blessed Homecare LLC | Point of Service | 219 Evergreen Cir, Hendersonville, TN 37075-2944 | 2014-10-27 |
| 1265854947 | Parker & Parker Dds Pa | Point of Service | 111 S Weisgarber Rd, Knoxville, TN 37919-4928 | 2014-01-14 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1508106741 | Vick Partners LLC | Point of Service | 905 Hamlet Dr, Murfreesboro, TN 37128-5297 | 2013-02-25 |
| 1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on PEDRO T. SALCEDO, M.D.,PLC.
| 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.