Active NPI
John D Talbott, DO
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Petoskey, MI
National Provider Identifier
1942309455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 5101010171
- Practice address
- 560 W Mitchell St Ste 400
MHVS Cardiovascular & Thoracic Surger
Petoskey, MI 49770-2274 - Phone
- (231) 487-4950
- Fax
- (231) 487-4951
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 5101010171 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste 400
MHVS Cardiovascular & Thoracic Surger
Petoskey, MI 49770-2274
Mailing address
416 Connable
Petoskey, MI 49770
Phone (231) 487-7129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4853893 | Medicaid | MI | |
| 533089 | Other | MI | BCBS INDIVIDUAL PIN |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1942309455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CONNABLE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "49770",
"telephone_number": "231-487-7129",
"fax_number": "231-487-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"address_2": "MHVS CARDIOVASCULAR & THORACIC SURGER",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274",
"telephone_number": "231-487-4950",
"fax_number": "231-487-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOTT",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "5101010171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4853893",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PIN",
"identifier": "533089",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.