CORY DALE SHOWALTER (NPI# 1699982553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699982553 |
Entity Type | Individual |
Full Name | CORY DALE SHOWALTER |
Credential | MD |
Practice Address |
705 Riley Hospital Dr. Indianapolis IN 46202-5109 |
Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
Practice Telephone | 3179443936 |
Practice Fax Number | 3179485844 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2014-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
01070711A | IN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 35.090842 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200912830 | 05 |
Street Address |
705 RILEY HOSPITAL DR. |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46202-5109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568081834 | Kayleigh Danae Avery | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-15 |
1932728532 | Sheela Gogula | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202-5109 | 2020-04-13 |
1841819950 | Monisola Oluwakemi Joann Adesanya | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-09 |
1053940346 | Emma Rose Schumacher | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-07 |
1194354480 | Lauren Michelle White | Dentist | 705 Riley Hospital Dr., Ri 4025, Indianapolis, IN 46202 | 2020-04-07 |
1881199487 | Jerilyn Michelle Summay | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2018-03-26 |
1346653284 | Whitney Leigh Gervelis | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Room 5867, Indianapolis, IN 46202-5225 | 2014-06-09 |
1740422898 | Jeffrey Steven Raskin | Neurological Surgery | 705 Riley Hospital Dr., Indianapolis, IN 46202 | 2009-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
Find all providers in zip 46202 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558701987 | Molly Christine Wormley | Emergency Medicine | 2001 W 86th St, Indianapolis, IN 46260 | 2013-06-29 |
1932498904 | Anne Whitehead | Emergency Medicine | 1701 N Senate Blvd # B401, Indianapolis, IN 46202-1239 | 2011-03-30 |
1114240678 | Christina Margaret Ricks | Emergency Medicine | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2010-03-11 |
1578758975 | Tonya J Hole | Emergency Medicine | 2001 W 86th St, St Vincent Hospital, Indianapolis, IN 46260-1902 | 2007-09-09 |
1013118736 | Jennifer Rae Barker | Emergency Medicine | 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202-5128 | 2007-05-30 |
City | INDIANAPOLIS |
Zip Code | 46202 |
Please comment or provide details below to improve the information on CORY DALE SHOWALTER.
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.