Angelo Anthony Tarver, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD.017358 Issued in LA

Practice address

22172 Sutter LN
Zachary, LA 70791-6002

Phone

(225) 921-4224

NPI assigned

Nov 30, 2006

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1922176999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22172 SUTTER LN",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916002",
            "telephone_number": "225-921-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22172 SUTTER LN",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916002",
            "telephone_number": "225-921-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "ANGELO",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.017358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol S Swift, M.D.
• Lovie Tabron, A.T.C., LAT
• Amanda Lavigne Talbot, MD
• Catherine Grace Talbot
• Hannah C Talbot
• Destiny Tate
• Joshua Tate
• Latoya Taylor
• The Anio Foundation (The Resource Center LA)
• The Bonin Clinic LLC

• General Practice Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.