CORY DALE SHOWALTER


Address: 705 Riley Hospital Dr., Indianapolis, IN 46202-5109
Phone: 3179443936

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 200912830 05

Office Location

Street Address 705 RILEY HOSPITAL DR.
City INDIANAPOLIS
State IN
Zip Code 46202-5109

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

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.

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