Individual
TARA LEIGH ROEDER
Active
Individual
TARA LEIGH ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01059424A
IN
207R00000X
Internal Medicine Physician
Primary
01059424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991666
ANTHEM PIN
IN
05
—
200525700
—
IN
Enumeration date
05/23/2006
Last updated
03/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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