Saint Martin Medical Center PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34085 Issued in TN

Legal business name

SAINT MARTIN MEDICAL CENTER PC

Practice address

1525 Hunt Club Blvd
Suite 600-a
Gallatin, TN 37066-6070

Phone

(615) 575-1079

Fax

(615) 989-4185

NPI assigned

Jun 18, 2013

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Corazon Cardeno Espeleta, MD

Title

President

Phone

(615) 575-1079

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1568801967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HUNT CLUB BLVD",
            "address_2": "SUITE 600-A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666070",
            "telephone_number": "615-575-1079",
            "fax_number": "615-989-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HUNT CLUB BLVD",
            "address_2": "SUITE 600-A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666070",
            "telephone_number": "615-575-1079",
            "fax_number": "615-989-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARTIN MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ESPELETA",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "CARDENO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-575-1079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "34085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857002",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857007",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H23857",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Elizabeth Rush, RN
• Bradley S Rust, MD
• Michael Ryan, DC
• Lisa Sabia
• Matthew Sadler, LPC-MHSP
• Saint Thomas Medical Partners
• Lauri Salani, PT
• Salvus Center, Inc.
• Sanders Medical Group
• Jordan Sanders

• Primary Care Clinic/Center in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.