Active NPI
John Wesley Talton, CAA
- Anesthesiologist Assistant
- Saint Louis, MO
National Provider Identifier
1386213825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2000-00005
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6090
- NPI assigned
- Jun 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2000-00005 | NC | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
3303 Clark Ave
Raleigh, NC 27607-7033
Phone (919) 904-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients |
Locations
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2308 Wesvill Ct
Raleigh, NC 27607
Phone (919) 278-7762
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1386213825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 CLARK AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077033",
"telephone_number": "919-904-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALTON",
"first_name": "JOHN",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-19",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NC",
"license": "2000-00005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.