Laslo Emory Kolta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13749 Issued in OR

Practice address

1255 Wallace Rd NW
Salem, OR 97304-3007

Phone

(503) 362-1314

Fax

(503) 362-5895

NPI assigned

Oct 13, 2005

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

State licenses

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1558359406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043007",
            "telephone_number": "503-362-1314",
            "fax_number": "503-362-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043007",
            "telephone_number": "503-362-1314",
            "fax_number": "503-362-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTA",
        "first_name": "LASLO",
        "middle_name": "EMORY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "13749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021159",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Kolb, MS CCC-SLP
• Vincent J Koletar, MD
• Theresa Ann Kollars, LPC
• Derek Koller, M.D.
• Alexandria Mary Kolody, LPN
• Lawrence Konick, MD
• Lisa Ann Callery Koontz, RN, LMT
• Madelyn Jo Koontz, RD, LD
• Tara Jade Koretsky, PHARM.D.
• Kori Chancellor Counseling

• Internal Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.