HOLLY M. KNODERER MD – NPI #1053530006
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

HOLLY KNODERER is a physician located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1053530006 to HOLLY KNODERER on April 25, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name HOLLY M TALLEY. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 15 years ago on Feb 18, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLLY KNODERER below.

NPI Profile for
HOLLY M. KNODERER

NPI Number
1053530006
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
HOLLY M. KNODERER
Former Name: HOLLY M TALLEY
Credentials
MD
Primary location
705 RILEY HOSPITAL DRIVE
ROC 4340
INDIANAPOLIS, IN 46202-5109
Phone: (317) 944-5611 Fax: (317) 944-3107
Mailing address
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone: (317) 274-1201 Fax: (317) 278-9905
Sole Proprietor
No
Updated
Identifiers

Identifiers for HOLLY KNODERER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200862280
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
IN 01063505

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.