Active NPI
Teresita C. Marcelo, M.D., Inc.
- General Practice Physician
- Alliance, OH
National Provider Identifier
1659342186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- TERESITA C. MARCELO, M.D., INC.
- Practice address
- 131 W State St
Alliance, OH 44601-4753 - Phone
- (330) 823-3166
- Fax
- (330) 823-3166
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teresita Calibag Marcelo, M.D.
- Title
- President
- Phone
- (330) 823-3166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
131 W State St
Alliance, OH 44601-4753
Mailing address
131 W State St
Alliance, OH 44601-4753
Phone (330) 823-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0285463 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
131 W State St
Alliance, OH 44601
Phone (330) 823-3166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1659342186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 W STATE ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014753",
"telephone_number": "330-823-3166",
"fax_number": "330-823-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W STATE ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014753",
"telephone_number": "330-823-3166",
"fax_number": "330-823-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERESITA C. MARCELO, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "MARCELO",
"authorized_official_first_name": "TERESITA",
"authorized_official_middle_name": "CALIBAG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-823-3166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0285463",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.