NPIMap

Organization Active NPI

Ellen L Talos MD PA

  • Family Medicine Physician
  • Palatka, FL
National Provider Identifier
1669607966
Registry record updated May 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103440 Issued in FL
Legal business name
ELLEN L TALOS MD PA
Practice address
200 Mission Rd
Palatka, FL 32177-2618
Phone
(386) 328-2222
NPI assigned
May 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2009

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

Authorized official

Name
Dr. Ellen L Talos, M.D.
Title
Authorized Official
Phone
(248) 935-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME103440 FL Primary

Addresses

Primary practice location

200 Mission Rd
Palatka, FL 32177-2618

Mailing address

200 Mission Rd
Palatka, FL 32177-2618
Phone (386) 328-2222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242432000000",
    "number": "1669607966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MISSION RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772618",
            "telephone_number": "386-328-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSION RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772618",
            "telephone_number": "386-328-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN L TALOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-16",
        "last_updated": "2009-05-16",
        "status": "A",
        "authorized_official_last_name": "TALOS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-935-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; 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.