Active NPI
Gregory Philip Salmon, RSA
- Surgical Technologist
- Elkhart, IN
National Provider Identifier
1225113657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238.000083
- Practice address
- 27469 Bittersweet LN
Elkhart, IN 46514-9720 - Phone
- (574) 276-8340
- Fax
- (574) 243-8504
- NPI assigned
- Oct 26, 2006
- Last updated
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238.000083 | IL | Primary |
Addresses
Primary practice location
27469 Bittersweet LN
Elkhart, IN 46514-9720
Mailing address
27469 Bittersweet LN
Elkhart, IN 46514-9720
Phone (574) 276-8340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000083 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1225113657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27469 BITTERSWEET LN",
"city": "ELKHART",
"state": "IN",
"postal_code": "465149720",
"telephone_number": "574-276-8340",
"fax_number": "574-243-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27469 BITTERSWEET LN",
"city": "ELKHART",
"state": "IN",
"postal_code": "465149720",
"telephone_number": "574-276-8340",
"fax_number": "574-243-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "GREGORY",
"middle_name": "PHILIP",
"credential": "RSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238.000083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.