Individual provider Active NPI

Karen K La Salle, M.D.

  • Pediatrics Physician
  • Norwalk, OH
National Provider Identifier
1659696953
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35120357 Issued in OH
Practice address
282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone
(419) 668-9409
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35120357 OH Primary

Addresses

Primary practice location

282 Benedict Ave Ste B
Norwalk, OH 44857-2712

Mailing address

282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone (419) 668-9409

Other identifiers 1

IdentifierTypeStateIssuer
0079106MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000933 OH Practitioner - Pediatric Medicine 9436390705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35120357OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Pediatrics CurrentSince May 18, 2024 Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Dec 26, 2018 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince May 18, 2024 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Blanchard Valley Regional Health Center Pediatrics Current Accepting new patients

Locations

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

282 Benedict Ave
Ste B
Norwalk, OH 44857
Phone (419) 668-9409

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1659696953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALLE",
        "first_name": "KAREN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35120357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079106",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.