Roeder, Tara Leigh

Roeder, Tara Leigh is an individual health care provider with primary practice located at 4050 Central Ave , Columbus IN 47203-1851. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Roeder, Tara Leigh can be contacted via phone (812) 376-9427.

Contact Information

Primary practice address
4050 Central Ave Columbus IN 47203-1851
Phone: (812) 376-9427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01059424A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01059424A Indiana

Profile Details

NPI number 1194770016
LBN Legal business name Roeder, Tara Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194770016 NPPES
Indiana Other 000000991666 ANTHEM PIN
Indiana MEDICAID 200525700 ANTHEM PIN

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