Organization Active NPI

Fred L Talarico MD PC

  • Cardiovascular Disease Physician
  • Utica, NY
National Provider Identifier
1710068309
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1445061 Issued in NY
Legal business name
FRED L TALARICO MD PC
Practice address
2115 Genesee Street
Utica, NY 13501-5932
Phone
(315) 733-1148
Fax
(315) 733-0985
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Fred L Talarico, MD
Title
Owner
Phone
(315) 733-1148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1445061 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 1445061 NY Primary

Addresses

Primary practice location

2115 Genesee Street
Utica, NY 13501-5932

Mailing address

2115 Genesee Street
Utica, NY 13501-5932
Phone (315) 733-1148

Other identifiers 1

IdentifierTypeStateIssuer
00966463MedicaidNY

National Provider Directory

National Provider Directory

Locations

2115 Genesee St
Utica, NY 13501
Phone (315) 733-1148

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1710068309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 GENESEE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015932",
            "telephone_number": "315-733-1148",
            "fax_number": "315-733-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 GENESEE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015932",
            "telephone_number": "315-733-1148",
            "fax_number": "315-733-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L TALARICO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "TALARICO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-733-1148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1445061",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1445061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.