NICHOLAS JOSEPH TALLEY M.D. NPI 1003895632

NPI Information

NPI: 1003895632
Provider Name: NICHOLAS JOSEPH TALLEY, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
Get Directions

Nicholas Joseph Talley, M.D. is a gastroenterology internal medicine in Jacksonville, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Nicholas Joseph Talley, M.D. NPI is 1003895632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000

The enumeration date for this NPI number is 1/12/2006 and was last updated on 6/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	32557	MINNESOTA	No
2	207RG0100X	Internal Medicine	Gastroenterology	MFC1616	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100000443	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
2	AI097Z	MEDICARE PIN	FLORIDA
3	E16357	MEDICARE UPIN
4	110025925	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD
5	416318400	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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