Individual provider Active NPI

Eser Talug, MD

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1255322913
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-06-0119 Issued in OH
Practice address
4076 Holiday St NW
Canton, OH 44718-2513
Phone
(330) 492-5455
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-06-0119 OH Primary

Addresses

Primary practice location

4076 Holiday St NW
Canton, OH 44718-2513

Mailing address

4076 Holiday St NW
Canton, OH 44718-2513

Other identifiers 2

IdentifierTypeStateIssuer
0792898MedicaidOH
200203012OtherFEDERAL TAX ID

Other names 1

  • Eser Talug Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000954 OH Practitioner - Internal Medicine 8224933726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Internal Medicine Associates Ince Internal Medicine CurrentSince Nov 1, 2003 Accepting new patients

Locations

4076 Holiday St NW
Canton, OH 44718
Phone (216) 492-5455

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255322913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182513",
            "telephone_number": "330-492-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALUG",
        "first_name": "ESER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-0119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0792898",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "200203012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESER",
            "last_name": "TALUG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.