DR. PEDRO TAMAYO SALCEDO (NPI# 1942350111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942350111 |
| Entity Type | Individual |
| Full Name | DR. PEDRO TAMAYO SALCEDO |
| Credential | M.D. |
| Practice Address |
500 E Oglethorpe Hwy Hinesville GA 31313-2804 |
| Mailing Address |
109 Bee St Charleston SC 29401-5703 |
| Practice Telephone | 8435775011 |
| Mailing Telephone | 8435775011 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD0000028194 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 3144319 | 01 |
| TN | 3802904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154376218 | Pedro L Salcedo | Physician Assistant | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 | 2006-05-24 |
| Street Address |
500 E OGLETHORPE HWY |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008141 | David Lee Dobson Jr. | Psychiatry & Neurology | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2005-10-28 |
| 1659979300 | Lajuana Kim Bennett-ruffin | Peer Specialist | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2020-10-14 |
| 1699257758 | Ukia Cassandra Sims | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2018-09-05 |
| 1114425410 | Gabrielle Perry | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2018-02-01 |
| 1891214094 | Alyn R Maynez | Dietitian, Registered | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2017-09-19 |
| 1851826176 | Merritt M. Quarles | Nurse Practitioner | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2017-04-24 |
| 1275080392 | Elizabeth Belanger | Psychologist | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-09-07 |
| 1770946972 | Pamela Watson | Nurse Practitioner | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-04-04 |
| 1881055234 | Stacy Faison | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-03-14 |
| 1962877951 | Samantha Hopkins | Dietitian, Registered | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2015-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801068309 | Low Country Medical Clinic | Internal Medicine | 455 S Main St Ste 201, Hinesville, GA 31313-4354 | 2008-03-25 |
| 1790844389 | Mppg, Inc. | Internal Medicine | 455 South Maine Street, Suite 203, Hinesville, GA 31313 | 2006-12-08 |
| 1922192418 | Robert Glenn Carter | Internal Medicine | 109 W. Oglethorpe Hwy., Hinesville, GA 31313-3567 | 2006-10-02 |
| 1164472197 | Adewunmi Sobowale | Internal Medicine | 740 E General Stewart Way, Suite 103, Hinesville, GA 31313 | 2006-05-11 |
| 1841285087 | Olugbenga A Awe | Internal Medicine | 514 S Main St Ste A, Hinesville, GA 31313 | 2005-09-14 |
| 1285071340 | Lyudmila Pavlovna Carter | Internal Medicine | 109 West Oglethorpe Highway, Hinesville, GA 31313 | 2013-05-30 |
| 1912068768 | Firas Bannout | Internal Medicine | 455 S Main St, Ste 201, Hinesville, GA 31313-4353 | 2006-12-13 |
| 1104833698 | Nizar Eskandar | Internal Medicine | 455 S Main St, Ste 201, Hinesville, GA 31313-4353 | 2006-08-01 |
| 1154363927 | Bryan Medical Associates,inc | Internal Medicine | 740 E General Stewart Way, Suite 103, Hinesville, GA 31313-2634 | 2006-06-13 |
| 1689616963 | Sabin Alexandru Tomus | Internal Medicine | 455 S Main St, Ste 203, Hinesville, GA 31313-4353 | 2006-06-12 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.