Marylu Basala Kataja, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9600192 Issued in NC

Practice address

800 N Justice St
Hendersonville, NC 28791-3410

Phone

(828) 696-1000

Fax

(828) 696-1314

NPI assigned

May 4, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cabarrus Memorial Hospital

  dba NorthEast Medical Center

  • General Acute Care Hospital
  • Concord, NC
  • NPI 1093711525
  NPD (past)
• Emergency Physicians of Tidewater

  • Emergency Medicine Physician
  • Norfolk, VA
  • NPI 1033136841
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720036924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-782-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-696-1000",
            "fax_number": "828-696-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Lee Ann Dr NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252911",
            "country_code": "US",
            "telephone_number": "704-782-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATAJA",
        "first_name": "MARYLU",
        "middle_name": "BASALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9600192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947899",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47899",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0019B",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Kapousidis
• Leanna Alexis Karam, CSFA/CST
• Alena Karol, DDS
• John David Karolewics, LCMHC-A
• Sharon R Kast, N. P.
• Jasmeet Kaur Kataria-Hale, M.D.
• Madeera Kathpal, D.O.
• Kay FCH, LLC
• Keck Physical Therapy Inc (Keck Physical Therapy)
• Robert Ernest Keck, MS.PT.

• Emergency Medicine Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.