Angela K Tallon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35C.001179 Issued in OH

Practice address

1310 Wisconsin St Ste 204
Grand Haven, MI 49417-2472

Phone

(616) 844-4523

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Angela C May Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Edward W. Sparrow Hospital Association

  dba Sparrow Regional Children's Center

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1831139088
  Medicare reassignment NPD
• Noch Physician Billing Company LLC

  • Family Medicine Physician
  • Grand Haven, MI
  • NPI 1972550580
  Medicare reassignment NPD
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD
• Edward W. Sparrow Hospital Association

  dba SRCC Pediatric Hospitalist

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1720034499
  NPD
• Spectrum Health Primary Care Partners

  dba Corewell Health Medical Group West

  • Child Abuse Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1306156443
  NPD (past)
• Sheltering Arms Hospital Foundation, Inc.

  dba O'Bleness Memorial Hospital

  • General Acute Care Hospital
  • Athens, OH
  • NPI 1710913462
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1245460807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 WATER VIEW LN",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018837",
            "telephone_number": "616-634-1130",
            "fax_number": "616-226-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN ST STE 204",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-844-4523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Michigan St NE",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495035727",
            "country_code": "US",
            "telephone_number": "616-391-1242",
            "fax_number": "616-391-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLON",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301094962",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35C.001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MAY",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Synanon Inc
• Synanon Inc
• Synanon, Inc. in Home Care Nursing
• Joseph Szymczak, DDS
• Take Heart Counseling LLC
• Annah Taylor
• Samantha J Taylor, DPT
• Susan Johnson Taylor, M.D.
• Debra Sue Teadt Brinklow, LMSW
• Calvin Robert Tebbe, DO

• Pediatrics Physician in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.