Individual provider Active NPI

Faisal Thaljeh, MD

  • Emergency Medicine Physician
  • Winnfield, LA
National Provider Identifier
1386698462
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14353R Issued in LA
Practice address
301 W Boundary Ave
Winnfield, LA 71483-3427
Phone
(318) 747-1007
NPI assigned
May 21, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14353R LA Primary
Internal Medicine Physician 207R00000X MD.14353R LA

Addresses

Primary practice location

301 W Boundary Ave
Winnfield, LA 71483-3427

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 2

IdentifierTypeStateIssuer
P00979659OtherLARRMCARE THRU GPN MANY
1049077MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14353RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients
Sabine Emergency Medicine LLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fthaljeh@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1386698462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BOUNDARY AVE",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833427",
            "telephone_number": "318-747-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALJEH",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "14353R",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.14353R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU GPN MANY",
            "identifier": "P00979659",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049077",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.