Active NPI
Manuel Salinas, M.D.
- Family Medicine Physician
- Marshfield, MO
National Provider Identifier
1295711869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010010184
- Practice address
- 1240 Banning St
Marshfield, MO 65706-2390 - Phone
- (417) 468-1963
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2010010184 | MO | Primary |
Addresses
Primary practice location
1240 Banning St
Marshfield, MO 65706-2390
Mailing address
1240 Banning Street
Marshall VA Clinic
Marshfield, MO 65706
Phone (417) 468-1963
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295711869 | Medicaid | MO | |
| 115082304 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010010184 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1295711869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 BANNING STREET",
"address_2": "MARSHALL VA CLINIC",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "65706",
"telephone_number": "417-468-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 BANNING ST",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657062390",
"telephone_number": "417-468-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALINAS",
"first_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2010010184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295711869",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115082304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.