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SAMUEL J W CERIDON M.D. NPI 1679800247


NPI Information

NPI: 1679800247
Provider Name: SAMUEL J W CERIDON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: MARSHALL MEDICAL CENTER

PECOS Registration: Yes

Address:
1095 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667
Phone: (530) 626-2920
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Samuel J W Ceridon, M.D. is a family medicine in Placerville, CA with 15 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samuel J W Ceridon, M.D. NPI is 1679800247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:2009

The provider's business location address is:

1095 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667-722
Phone: (530) 626-2920
Fax: (530) 748-0328

The NPI 1679800247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Destruction of skin growth (HCPCS:17000)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 11/3/2009 and was last updated on 9/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA116725CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.