Active NPI
Karl H Talts, MD
- Anesthesiology Physician
- Eden, NC
National Provider Identifier
1649238619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 9401065
- Practice address
- 117 E Kings Hwy
Eden, NC 27288-5201 - Phone
- (336) 623-9711
- Fax
- (336) 553-3994
- NPI assigned
- May 1, 2006
- Last updated
- Aug 27, 2012
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101050956 | VA | |
| Anesthesiology Physician | 207L00000X | 9401065 | NC | Primary |
Addresses
Primary practice location
117 E Kings Hwy
Eden, NC 27288-5201
Mailing address
PO Box 8866
Greensboro, NC 27419-0866
Phone (336) 553-1659
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031831 | Other | VA | ANTHEM |
| 5702259 | Medicaid | VA | |
| 6905821 | Medicaid | NC | |
| 05821 | Other | NC | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9401065 | NC | MD | Anesthesiology Physician |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Eden, NC
- NPI 1508811977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1649238619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8866",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274190866",
"telephone_number": "336-553-1659",
"fax_number": "336-553-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-553-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALTS",
"first_name": "KARL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101050956",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "9401065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "031831",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5702259",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6905821",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05821",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.