Active NPI
John David Talley, CAA
- Anesthesiologist Assistant
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000420
- Practice address
- 4235 Secor Rd
Toledo, OH 43623-4299 - Phone
- (419) 473-3561
- NPI assigned
- Sep 2, 2016
- Last updated
- Jan 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480476 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
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 100
- Quality
- 23.09
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A4 of Ohio, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| University of Toledo Physicians LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| University of Toledo Physicians LLC | Current | 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.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
Anesthesiologist Assistant
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
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.