Active NPI
Charlene Rae Saloom, D.O.
- Family Medicine Physician
- Connellsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS013236
- Practice address
- 208 S. Arch Street
Connellsville, PA 15425-3519 - Phone
- (724) 626-2630
- Fax
- (724) 626-2655
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- 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 | OS013236 | PA | Primary |
Addresses
Primary practice location
208 S. Arch Street
Connellsville, PA 15425-3519
Mailing address
1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007288440037 | Medicaid | PA | |
| 101706672 | Medicaid | PA |
Other names 1
- Charlene Saloom Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013236 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Centerville Clinics Inc | Family Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1070 Old National Pike
Fredericktown, PA 15333
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
86 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 430-7990
Interoperability endpoints
- csaloom@direct.excelahealth.org
- csaloom38229@direct.conemaugh.org
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Family Medicine Physician
- Fredericktown, PA
- NPI 1801877048
-
- Federally Qualified Health Center (FQHC)
- Donora, PA
- NPI 1164064002
Family Medicine
-
- Radiologic Technologist
- Fredericktown, PA
- NPI 1568566867
-
- Clinical Medical Laboratory
- Fredericktown, PA
- NPI 1811978166
-
- Cardiovascular Disease Physician
- Fredericktown, PA
- NPI 1902887250
-
- Podiatrist
- Fredericktown, PA
- NPI 1922089275
-
- Family Medicine Physician
- Nanty Glo, PA
- NPI 1003222134
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Family Medicine
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1558387472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 OLD NATIONAL PIKE RD",
"city": "FREDERICKTOWN",
"state": "PA",
"postal_code": "153332114",
"telephone_number": "724-632-6801",
"fax_number": "724-632-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S. ARCH STREET",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154253519",
"telephone_number": "724-626-2630",
"fax_number": "724-626-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOOM",
"first_name": "CHARLENE",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS013236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007288440037",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101706672",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "TAYLOR",
"middle_name": "SALOOM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.