Individual provider Active NPI

John David Talley, CAA

  • Anesthesiologist Assistant
  • Toledo, OH
National Provider Identifier
1568919926
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000420 Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4299
Phone
(419) 473-3561
NPI assigned
Sep 2, 2016
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X FL
Anesthesiologist Assistant 367H00000X 67.000420 OH Primary

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4299

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

3330 Meijer Dr
Toledo, OH 43617-3103
Phone (419) 578-2020

Other practice location 2

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3556

Other identifiers 1

IdentifierTypeStateIssuer
0480476MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214000598 OH Practitioner - Anesthesiology Assistant 1153693403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
A4 of Ohio LLCGroup PAC ID 3971837188, 33 clinicians

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 473-3561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.63 of 100Reported as group
Quality
23.09
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
A4 of Ohio, LLC Anesthesiologist Assistant CurrentSince Dec 1, 2023 Accepting new patients
University of Toledo Physicians LLC Anesthesiologist Assistant CurrentSince Nov 16, 2021 Accepting new patients
University of Toledo Physicians LLC CurrentSince Nov 16, 2021 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

L4189
Columbus, OH 43260

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3330 Meijer Dr
Toledo, OH 43617
Phone (419) 539-6323

3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020

3330 Meijer Dr
#2
Toledo, OH 43617
Phone (567) 225-3394

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

4510 Dorr St
Toledo, OH 43615
Phone (419) 383-5045

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1568919926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173103",
            "country_code": "US",
            "telephone_number": "419-578-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "CAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.