MR. EDGAR MARCELENO (NPI# 1376191320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376191320 |
| Entity Type | Individual |
| Full Name | MR. EDGAR MARCELENO |
| Practice Address |
1402 5th Ave Manchester TN 37355-2544 |
| Practice Telephone | 3214747401 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1402 5TH AVE |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335687 | Brenton Keele | Student in an Organized Health Care Education/Training Program | 97 Bridge St Apt 6, Manchester, NH 03101-1651 | 2020-08-09 |
| 1205450962 | Matthew Payne | Student in an Organized Health Care Education/Training Program | 69 Kaunas Cir, Manchester, NH 03102-2317 | 2020-05-28 |
| 1578183356 | Miranda Renae Hooker | Student in an Organized Health Care Education/Training Program | 415 Millstone Ave Apt 14, Manchester, NH 03102-7189 | 2020-04-21 |
| 1578182549 | Zerina Dulas | Student in an Organized Health Care Education/Training Program | 130 Cilley Rd, Manchester, NH 03103-5637 | 2020-04-10 |
| 1710517875 | Derek Simpson | Student in an Organized Health Care Education/Training Program | 22 Fir St, Manchester, NH 03101-1238 | 2020-01-17 |
| 1811537509 | Madeleine Mary Gamache | Student in an Organized Health Care Education/Training Program | 1009 Ray St, Manchester, NH 03104-1619 | 2020-01-09 |
| 1023657236 | Christopher Ryan Lemons | Student in an Organized Health Care Education/Training Program | 106 Hidden Oak Way, Manchester, NH 03102-8464 | 2020-01-06 |
| 1154967685 | Shamelia Shante Crosby | Student in an Organized Health Care Education/Training Program | 12 Lilley St, Manchester, CT 06040-4232 | 2019-11-19 |
| 1275189615 | Mustakim Talukder | Student in an Organized Health Care Education/Training Program | 576 Brent St, Manchester, NH 03103-7735 | 2019-08-12 |
| 1740841642 | Alexandra George | Student in an Organized Health Care Education/Training Program | 123 Vinton St, Manchester, NH 03103-3929 | 2019-06-23 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on MR. EDGAR MARCELENO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.