Individual provider Active NPI

Jason Alan Talburt

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1356633549
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.206830 Issued in LA
Practice address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone
(225) 358-3940
Fax
(225) 358-3939
NPI assigned
May 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.206830 LA Primary

Addresses

Primary practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

2530 Gates Cir Apt 37
Baton Rouge, LA 70809-1016
Phone (870) 656-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140723001942 LA Practitioner - Emergency Medicine 2567688716 Reassigns benefits to 2 organizations
I20141022000583 AR Practitioner - Emergency Medicine 2567688716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faulkner Emergency Group, PLLCGroup PAC ID 1557694049, 19 clinicians

Practice addresses (Care Compare)

2302 College Ave
Conway, AR 72034-6297
Phone (501) 329-3831

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206830LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagg Emergency Group, PLLC Emergency Medicine CurrentSince Dec 6, 2022 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Nov 1, 2016 Accepting new patients
Faulkner Emergency Group, PLLC Emergency Medicine CurrentSince May 22, 2019 Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince Jun 2, 2014 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Nov 1, 2016 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Jun 20, 2020 Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1356633549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 GATES CIR APT 37",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091016",
            "telephone_number": "870-656-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-3940",
            "fax_number": "225-358-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBURT",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.206830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.