Provider Demographics
NPI:1588741680
Name:SALAZAR-CATRON, TERESA M (MD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:M
Last Name:SALAZAR-CATRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4156
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37802-4156
Mailing Address - Country:US
Mailing Address - Phone:865-273-1752
Mailing Address - Fax:865-273-1755
Practice Address - Street 1:2648 SEVIERVILLE RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-3643
Practice Address - Country:US
Practice Address - Phone:865-984-1660
Practice Address - Fax:865-982-1617
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35512207Q00000X, 207QG0300X, 207QH0002X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509393Medicaid
TN38768041Medicaid
TN38768042Medicare PIN
TNH70826Medicare UPIN
TN38768041Medicaid