Look up the most recent NPI and PECOS records

Kirt Joseph Talamo

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1514 Jefferson Hwy, New Orleans, LA 70121

PECOS Enrollment

Based on the most recent information from CMS, provider Kirt Joseph Talamo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1053314419
Provider Type
Individual
Full Name
Talamo, Kirt Joseph
Title
Mr.
Credential
PAC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/31/2005
Last Updated
4/30/2008

Contact Information

Practice Location

1514 Jefferson Hwy, New Orleans, LA 70121

(504) 842-4000

Unlisted Fax

Mailing Location

1514 Jefferson Hwy, New Orleans, LA 70121

(504) 842-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA200020 Louisiana
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License A30284 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 1012785	Description Medicaid	Issuer Unlisted Louisiana
ID A30284	Description Other	Issuer PA LICENSE Louisiana

Kirt Joseph Talamo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Shaffer, Lynsey Anne

Morphy, Mallory

Alleyne, Katherine Buchert

Whittington, Haleigh Elizabeth

Saleeby, Jenny R

Hermes, Jodi Michelle

Stewart, Amanda D

Labiche, Tara M.

Weydert, Amber Plaisance

Trambadia, Sunny Lalji