Healthcare Provider Details

I. General information

NPI: 1023243771
Provider Name (Legal Business Name): ALLISON K ROYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON K TARASKA M.D.

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N BURKHARDT RD
EVANSVILLE IN
47715-2740
US

IV. Provider business mailing address

PO BOX 3276
EVANSVILLE IN
47731-3276
US

V. Phone/Fax

Practice location:
  • Phone: 812-465-2727
  • Fax: 812-297-8954
Mailing address:
  • Phone: 812-473-0181
  • Fax: 812-473-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number01073983A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: