Organization Active NPI

Teresita C. Marcelo, M.D., Inc.

  • General Practice Physician
  • Alliance, OH
National Provider Identifier
1659342186
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0285463MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.