DR. JOHN ROBERT TALLETT (NPI# 1639108848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108848 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT TALLETT |
| Credential | M.D. |
| Practice Address |
268 W Main St Suite 3 Fredonia NY 14063-2200 |
| Practice Telephone | 7166724040 |
| Practice Fax Number | 7166724057 |
| Mailing Telephone | 7166724040 |
| Mailing Fax Number | 7166724057 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 201018 | NY | Other Service Providers |
| Street Address |
268 W MAIN ST SUITE 3 |
| City | FREDONIA |
| State | NY |
| Zip Code | 14063-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437406931 | Lake Erie Medical Services, PC | Anesthesiology | 268 W Main St, Suite 2, Fredonia, NY 14063-2200 | 2012-08-14 |
| 1407112105 | Pujan Shrestha | Obstetrics & Gynecology | 268 W Main St, Fredonia, NY 14063-2200 | 2012-04-06 |
| 1356534713 | Tawsufe Majid | Obstetrics & Gynecology | 268 W Main St, Suite 2, Fredonia, NY 14063-2200 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
| 1265909568 | Emily Marie Ludwig | Student in an Organized Health Care Education/Training Program | 3 Andrew Ct, Fredonia, NY 14063 | 2018-10-25 |
| 1275909129 | Diane Jo Rafan | Registered Nurse | 9705 Miller Rd, Fredonia, NY 14063 | 2015-08-14 |
| 1508281312 | Ann R Dutchess | Registered Nurse | Lakeside Clinic, 355 Central Ave, Fredonia, NY 14063 | 2014-03-03 |
| 1508134941 | Lauren Cecile Merlino | Speech-Language Pathologist | 9520 Fredonia-stockton Road, Lo Guidance Education Center, Fredonia, NY 14063 | 2011-12-13 |
| 1619287315 | Warren P. Sanderson | Registered Nurse | 264 East Main St, Fredonia, NY 14063 | 2010-10-15 |
| 1992020416 | Darwin's Health Club, Inc | Case Management | 47-53 Water Street, Fredonia, NY 14063 | 2010-03-29 |
| 1629255062 | Richard M Wright | Dentist | One Park Place, Suite #240, Fredonia, NY 14063 | 2008-01-29 |
| 1588845416 | Mark Twichell & Annette Lukasik Dds LLP | Dentist | 85 West Main Street, Fredonia, NY 14063 | 2007-11-20 |
| 1992911390 | Tracy Luise Stenger | Counselor | 105 Newton Street, Fredonia, NY 14063 | 2007-05-15 |
| Find all providers in zip 14063 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
| 1720506686 | Kara Janine Korhummel | Specialist | 75 Chestnut St Ste 500, Fredonia, NY 14063-1649 | 2017-08-31 |
| 1447640719 | Mary Beach | Specialist | 143 Howard St, Fredonia, NY 14063-2103 | 2015-01-26 |
| 1801230826 | Kimberly Marino-alguire | Specialist | 87 Eagle St, Fredonia, NY 14063-1964 | 2013-04-21 |
| 1134633589 | Laurie Ann Marucci | Specialist | 75 Chestnut St, Fredonia, NY 14063-1649 | 2017-11-21 |
| 1891120820 | Roberta Logsdon | Specialist | 75 Chestnut St, Fredonia, NY 14063-1630 | 2013-09-10 |
| 1316291750 | Devon Dolce | Specialist | 75 Chestnut St, Fredonia, NY 14063-1630 | 2012-11-07 |
| 1740533009 | Mary Sue Vogel | Specialist | 75 Chestnut St, Fredonia, NY 14063 | 2012-10-23 |
| 1467716779 | Dianne Kathleen Buyer | Specialist | 75 Chestnut St, Fredonia, NY 14063-1630 | 2012-07-02 |
| 1700149838 | Stacey Marie Wallace | Specialist | 75 Chestnut St, Fredonia, NY 14063-1630 | 2012-06-22 |
| Find all providers in FREDONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.