NPIMap

Individual provider Active NPI

Tarkten Alexander Pharr, MD,RVT

  • Vascular Surgery Physician
  • Elizabeth City, NC
National Provider Identifier
1629037445
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
200101263 Issued in NC
Practice address
1177 N Road St
Elizabeth City, NC 27909-3388
Phone
(252) 384-2560
Fax
(252) 384-9997
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200101263 NC
Surgery Physician 208600000X 200101263 NC
Vascular Surgery Physician 2086S0129X 200101263 NC Primary

Addresses

Primary practice location

1177 N Road St
Elizabeth City, NC 27909-3388

Mailing address

1177 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 384-2560

Other identifiers 1

IdentifierTypeStateIssuer
891296VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000332 NC Practitioner - Vascular Surgery 9739160649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1177 N Rd St
Elizabeth City, NC 27909-3388
Phone (252) 384-2560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair21
Leg revascularization (restoring blood flow)33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200101263NCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glover Clinic Past Accepting new patients
Comprehensive Wound Care PLLC Surgery Past Accepting new patients
Health Access Network Past Accepting new patients
Thoracic & Vascular Associates of Kinston PA Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tpharr176941@direct.sentara.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1629037445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093388",
            "telephone_number": "252-384-2560",
            "fax_number": "252-384-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093388",
            "telephone_number": "252-384-2560",
            "fax_number": "252-384-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "TARKTEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD,RVT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200101263",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200101263",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "200101263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891296V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.