J DAVID TALLEY (NPI# 1700999703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700999703 |
| Entity Type | Individual |
| Full Name | J DAVID TALLEY |
| Credential | MD |
| Practice Address |
1532 Lone Oak Rd Suite 415 Paducah KY 42003-7913 |
| Mailing Address |
Po Box 636961 Cincinnati OH 45263-6961 |
| Practice Telephone | 2704420103 |
| Practice Fax Number | 2704420109 |
| Mailing Telephone | 5139815130 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
21377 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 060060128 | 01 | |
| DEPT OF LABOR | 028189499 | 01 | |
| KY | 64213770 | 05 |
| Street Address |
1532 LONE OAK RD SUITE 415 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
| 1790225977 | Tiffany Lynn Cates | Nurse Practitioner | 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 | 2017-03-07 |
| 1700258183 | Kimberly Jernigan | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2015-10-26 |
| 1235505827 | Darrell New I | Nurse Practitioner | 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 | 2015-08-18 |
| 1194112755 | Catherine Lee Reimnitz | Nurse Practitioner | 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 | 2015-04-22 |
| 1093101958 | Julie Ann Emerine Heeb | Nurse Practitioner | 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 | 2015-04-07 |
| 1508115007 | Kristie Hack | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2012-08-30 |
| 1114285723 | Lance D Williamson | Nurse Practitioner | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2012-05-02 |
| 1730475302 | Elyse A Hale | Specialist/Technologist, Other | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2011-06-22 |
| 1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688018 | Anil John Mani | Internal Medicine | 1532 Lone Oak Rd Ste 415, Paducah, KY 42003-7943 | 2005-09-02 |
| 1427272673 | Shawn Flynn | Internal Medicine | 225 Medical Center Dr, Suite 402, Paducah, KY 42003-7914 | 2007-04-12 |
| 1932249026 | John Broadbent, Md Pllc | Internal Medicine | 225 Medical Center Dr, Suite 204, Paducah, KY 42003-7914 | 2007-02-07 |
| 1972613487 | Timothy J Mcdermott | Internal Medicine | 1532 Lone Oak Rd Ste 415, Paducah, KY 42003 | 2006-08-30 |
| 1740398254 | Cardiology Associates of Paducah, Psc | Internal Medicine | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2006-08-25 |
| 1609989698 | Charles D Hogancamp | Internal Medicine | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2006-08-16 |
| 1477666469 | Mark D Lineberry | Internal Medicine | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2006-08-16 |
| 1225069131 | Lowell F Roberts | Internal Medicine | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2006-07-06 |
| 1043248636 | Bradley B Mcelroy | Internal Medicine | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2006-06-30 |
| 1093783532 | Thomas J Salvucci | Internal Medicine | 1532 Lone Oak Rd Ste 415, Paducah, KY 42003-7943 | 2006-03-10 |
| Find all providers in PADUCAH | ||||
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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.