DR. TERRY JOE TOLLE (NPI# 1124131826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124131826 |
| Entity Type | Individual |
| Full Name | DR. TERRY JOE TOLLE |
| Credential | DC |
| Practice Address |
4625 S Emerson Ave Indianapolis IN 46203-5972 |
| Mailing Address |
5135 S Emerson Ave Ste C Indianapolis IN 46237-1967 |
| Practice Telephone | 3175222303 |
| Practice Fax Number | 3175222304 |
| Mailing Telephone | 3179915710 |
| Mailing Fax Number | 3177551807 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001559A | IN | Chiropractic Providers |
| Street Address |
4625 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027890 | Kids & Adult Dental Care Inc | Clinic/Center | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-13 |
| 1689218224 | Aspen Michelle Holmes | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-06 |
| 1093214793 | Hank Havlin | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2018-02-08 |
| 1881977288 | Steven Ryan Hart | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2011-09-21 |
| 1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
| 1609190842 | Indy Pain & Injury Centers LLC | Family Medicine | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2010-03-17 |
| 1912139841 | Bacsa Dental PC | Preferred Provider Organization | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2009-08-11 |
| 1023253861 | Health1st of Indy South | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2008-12-09 |
| 1831235001 | Charles Dennis Maloney | Plastic Surgery | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2007-01-29 |
| 1497839450 | Billy Lee Walker Jr. | Physician Assistant | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737552 | Molly Vyzral | Chiropractor | 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 | 2020-10-09 |
| 1912529082 | Traci Gross | Chiropractor | 1460 W 86th St, Indianapolis, IN 46260-2181 | 2020-05-12 |
| 1154954972 | James Mccluskey | Chiropractor | 5935 Grandiose Dr, Indianapolis, IN 46228-4308 | 2020-02-20 |
| 1417587890 | Abigail Wade | Chiropractor | 6155 N Keystone Ave Ste 700, Indianapolis, IN 46220-1485 | 2020-01-24 |
| 1689204174 | Jennifer Brenneisen | Chiropractor | 971 N Delaware St, Indianapolis, IN 46202-3377 | 2020-01-23 |
| 1467082198 | Arden Burch | Chiropractor | 5111 E 65th St, Indianapolis, IN 46220-4816 | 2020-01-22 |
| 1053951137 | Restoration Family Chiropractic | Chiropractor | 5915 S Emerson Ave Ste 400, Indianapolis, IN 46237-1972 | 2020-01-07 |
| 1700432002 | Carter Yoder Chiropractic LLC | Chiropractor | 7855 S Emerson Ave Ste Q, Indianapolis, IN 46237-8669 | 2019-08-13 |
| 1750935946 | Chiro One Wellness Center of Indianapolis North LLC | Chiropractor | 6612 E 75th St Ste 110, Indianapolis, IN 46250-2821 | 2019-07-26 |
| 1376026393 | Eric Anthony Wolf | Chiropractor | 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 | 2018-09-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.