Angella Marie Talley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

40534 Issued in KY

Practice address

2201 Concord Ave NW
Ste 100
Corydon, IN 47112-2060

Phone

(812) 738-1200

Fax

(812) 738-1710

NPI assigned

Sep 20, 2006

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 identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harrison County Hospital

  • Obstetrics & Gynecology Physician
  • Georgetown, IN
  • NPI 1396439840
  NPD (past)
• Harrison County Hospital

  • Rural Health Clinic/Center
  • Corydon, IN
  • NPI 1700779378
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1891893376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CONCORD AVE NW",
            "address_2": "STE 100",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122060",
            "telephone_number": "812-738-1200",
            "fax_number": "812-738-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "ANGELLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01061972A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100206000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200847430",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angellatalley@kfpsllc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2201 Concord Ave NW",
            "address_2": "Ste 100",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sally Lynn Stewart, LMFT
• Christopher M Stock, DC
• Simon Stock
• Maleah E Stroud, OD
• Edwin R Stutzman, CRNA
• Steven Edward Thomas, MD
• Sharon Thompson, PT
• Sujittra Tongprasert, MD
• Renee A Tornatore, DC
• Kristin Lynn Trowbridge, LMT

• All providers in Corydon, IN
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.