Thomas John Antalik, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

37999 Issued in NC

Practice address

511 Ridge Rd
Roxboro, NC 27573-4627

Phone

(336) 597-5462

Fax

(336) 597-9428

NPI assigned

Mar 23, 2006

Last updated

Nov 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sandhills Heart Surgery PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fayetteville, NC
  • NPI 1144268798
  NPD (past)
• Thomas J. Antalik, MD

  • Surgery Physician
  • Roxboro, NC
  • NPI 1639358195
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1437119708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3193",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277153193",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734627",
            "telephone_number": "336-597-5462",
            "fax_number": "336-597-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTALIK",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "37999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amarika Family Medicine. P.C. (Triangle Physicians)
• Emily Claire Anderson, OTR/L
• Lawanda Lee Anderson, MA, LPC
• Andrew P. Collins, DMD, PA
• Angelsprings Assisted Living (Kuntal Merchant)
• Teresa Bradsher Armstrong
• Kevin T Ashe, CSAC
• Christopher Martin Atkins Jr., D.D.S.
• Wendy L Barker, NP
• Charlotte R Barnard, CLINICAL SOCIAL WORK

• Surgery Physician in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.