Active NPI
Marc Aaron Saldivar, PA-C
- Physician Assistant
- Stephenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07921
- Practice address
- 2275 W South Loop Ste 100
Stephenville, TX 76401-3968 - Phone
- (254) 459-7130
- Fax
- (254) 459-7148
- NPI assigned
- Aug 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | PA07921 | TX | Primary |
Addresses
Primary practice location
2275 W South Loop Ste 100
Stephenville, TX 76401-3968
Mailing address
2275 W South Loop Ste 100
Stephenville, TX 76401-3968
Phone (254) 459-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710233366 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1308 E Paluxy Rd
Granbury, TX 76048-5655
1310 B Paluxy Rd
Granbury, TX 76048-5655
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963
1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805
2275 W S Loop
Stephenville, TX 76401-3968
Phone (254) 459-7130
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hood Medical Group | Physician Assistant | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Physician Assistant | Current | Accepting new patients |
Locations
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
2275 W South Loop
Ste 100
Stephenville, TX 76401
Phone (254) 459-7130
Interoperability endpoints
- marc.saldivar.1@1293.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Abilene, TX
- NPI 1619235629
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Nurse Practitioner
- Arlington, TX
- NPI 1497807713
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1710233366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 W SOUTH LOOP STE 100",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013968",
"telephone_number": "254-459-7130",
"fax_number": "254-459-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 W SOUTH LOOP STE 100",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013968",
"telephone_number": "254-459-7130",
"fax_number": "254-459-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALDIVAR",
"first_name": "MARC",
"middle_name": "AARON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710233366",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
- 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.