DR. ANGELLA MARIE TALLEY (NPI# 1891893376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891893376 |
| Entity Type | Individual |
| Full Name | DR. ANGELLA MARIE TALLEY |
| Credential | M.D. |
| Practice Address |
2201 Concord Ave Nw Ste 100 Corydon IN 47112-2060 |
| Mailing Address |
5300 State Road 64 Ste 105 Georgetown IN 47122-9178 |
| Practice Telephone | 8127381200 |
| Practice Fax Number | 8127381710 |
| Mailing Telephone | 8123660012 |
| Mailing Fax Number | 8127381710 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01061972A | IN | Other Service Providers |
| Y | 208000000X | Pediatrics | 40534 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100206000 | 05 | |
| IN | 200847430 | 05 |
| Street Address |
2201 CONCORD AVE NW STE 100 |
| City | CORYDON |
| State | IN |
| Zip Code | 47112-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073544 | Frances M Lasley | Massage Therapist | 1300 N Old Hwy 135, Ste 3, Corydon, IN 47112 | 2020-04-30 |
| 1730744525 | Elizabeth Walden-fisher | Social Worker | Lifespring Health Systems, 535 Country Club Road, S.e., Corydon, IN 47112 | 2019-05-07 |
| 1770927030 | Hannah Wallace | Speech-Language Pathologist | 1079 Alexis Ave Ne, Corydon, IN 47112 | 2013-04-17 |
| 1346590502 | Rocky Mountain Holdings LLC | Ambulance | 1269 Hospital Dr Nw, Corydon, IN 47112 | 2012-09-14 |
| 1295011294 | Karen Lynn Vannis | Pharmacist | 1716 Hwy 337 Nw, Corydon, IN 47112 | 2011-10-24 |
| 1164710109 | Chris Alan Bezy | Social Worker | 2179 Liberty Way Nw, Corydon, IN 47112 | 2011-07-12 |
| 1902102940 | William Thomas Logsdon Sr. | Hearing Instrument Specialist | 925 Settler Trace, Corydon, IN 47112 | 2011-02-09 |
| 1841507191 | Donna Richmond | Specialist | 150 Beechmont Dr, Harrison Health and Rehabilitation Center, Corydon, IN 47112 | 2010-09-08 |
| 1356670053 | Harrison Township Fire Protection District | Ambulance | 120 Hilltop Dr, Corydon, IN 47112 | 2009-12-09 |
| 1982852083 | Linda Kaufer | Physical Therapy Assistant | 150 Beechmont Drive, Corydon, IN 47112 | 2008-09-03 |
| Find all providers in zip 47112 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346230950 | Deborah A Hall | Pediatrics | 2201 Concord Avenue, 100, Corydon, IN 47112-2060 | 2005-10-25 |
| 1336139047 | John F. Norton | Pediatrics | 2201 Concord Ave., 100, Corydon, IN 47112 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404165 | Long Term Care and Rehab Consultants LLC | Pediatrics | 4919 Charlestown Rd, New Albany, IN 47150-9426 | 2020-07-22 |
| 1295358265 | Culver Pediatrics Center, Inc | Pediatrics | 16427 18th Rd, Culver, IN 46511-9754 | 2020-05-25 |
| 1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1518316264 | Christine Marie Timmer Firlit | Pediatrics | 1946 45th St Ste C, Munster, IN 46321-3986 | 2016-06-03 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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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.