Taylor Talasky, PA-C

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MA061361 Issued in PA

Practice address

311 Center St Apt 2
Lock Haven, PA 17745-2710

Phone

(716) 499-9517

NPI assigned

Jan 17, 2020

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 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Upmc Altoona Regional Health Services, Inc

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1972133056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CENTER ST APT 2",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452710",
            "telephone_number": "716-499-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CENTER ST APT 2",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452710",
            "telephone_number": "716-499-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALASKY",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MA061361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE",
            "identifier": "MA061361",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susquehanna Physician Services
• Susquehanna Physician Services
• Suzanne E Edwards, DMD, PC
• SV Opco LLC
• Timothy L. Swift, PA-C
• Heather Hannah Tawney, M. A., LPC
• Tammy Lee Taylor
• Jaclyn Teklinsky, CRNP
• Erin Michelle Terwilliger
• Cherie Lee Thomas, DC

• Endocrinology, Diabetes & Metabolism Physician in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.