Active NPI
Alfredo Cartaya, MD
- Family Medicine Physician
- Defuniak Springs, FL
National Provider Identifier
1447218102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME20546
- Practice address
- 4415 U.S. Hwy 331 South
Defuniak Springs, FL 32435-6307 - Phone
- (850) 951-4556
- Fax
- (850) 951-4527
- NPI assigned
- May 3, 2006
- Last updated
- Sep 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME20546 | FL | |
| Family Medicine Physician | 207Q00000X | ME20546 | FL | Primary |
Addresses
Primary practice location
4415 U.S. Hwy 331 South
Defuniak Springs, FL 32435-6307
Mailing address
4415 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 951-4556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051523089 | Medicaid | AL | |
| 051529330 | Medicaid | AL |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20546 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Hospital MRI Center | Past | Accepting new patients | |
| Southland Medical Solutions of Eufaula, PL | Emergency Medicine | Past | Accepting new patients |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Mobile Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Ascension Medical Group Sacred Heart Urgent Care
- Urgent Care Clinic/Center
- Pensacola, FL
- NPI 1770533077
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1932166287
-
- Emergency Medicine Physician
- Eufaula, AL
- NPI 1205092723
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Port Huron, MI
- NPI 1063581353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1447218102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 US HIGHWAY 331 S",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324356307",
"telephone_number": "850-951-4556",
"fax_number": "850-951-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 U.S. HWY 331 SOUTH",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324356307",
"telephone_number": "850-951-4556",
"fax_number": "850-951-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTAYA",
"first_name": "ALFREDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME20546",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME20546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051523089",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051529330",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Defuniak Springs, FL
- Stefanie Byer
- Joshua Calhoun, ARNP
- James Wesley Cantrell, RPH
- Christina Faye Carnley, BCBA
- Daniel Carnley
- Centanni Enterprises Inc (Medicine Shoppe)
- Chautauqua Offices of Psychotherapy and Evaluation, Inc. (C.O.P.E. Center)
- Chautauqua Springs Health Center LLC (Chautauqua Springs Health Center)
- Chuck Stevenson OD PA
- Cari B Cole, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.