M. Teresa Tallon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

M. TERESA TALLON, M.D.

Practice address

2821 E Dupont Rd
Fort Wayne, IN 46825-1668

Phone

(260) 497-0602

Fax

(260) 497-0657

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

M. Teresa Tallon, M.D.

Title

President

Phone

(260) 497-0602

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Teresa Tallon, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1649262155
  NPD (past)
• Beryl Lynn Randolph, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1205845393

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1750660627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251668",
            "telephone_number": "260-497-0602",
            "fax_number": "260-497-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251668",
            "telephone_number": "260-497-0602",
            "fax_number": "260-497-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. TERESA TALLON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "TALLON",
        "authorized_official_first_name": "M. TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-497-0602",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natilee Lyons
• Perry Lynn Lyons, D.C.
• Megan L. Lytle, MD
• Renee Lytle
• M B Fletcher PLLC
• Ma Home Care LLC
• Ma Home Health LLC
• Victoria S. Maassel, PA-C
• Robert Todd Mabry, DDS
• Indigo Mabson

• Family Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.