DR. PRASAD V GADE (NPI# 1124027008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124027008 |
| Entity Type | Individual |
| Full Name | DR. PRASAD V GADE |
| Credential | M.D. |
| Practice Address |
520 Mary St Ste 520 Evansville IN 47710-1682 |
| Mailing Address |
520 Mary St Suite 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Mailing Telephone | 8124248231 |
| Mailing Fax Number | 8124358794 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01053157A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01053157A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200303060 | 05 | |
| KY | 64013089 | 05 | |
| IN | ANTHEM BLUE CROSS/SHIELD | 000000174869 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 Mary St, Suite 520, Evansville, IN 47710 | 8124248231 | 8124358794 |
| Street Address |
520 MARY ST STE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940118 | Jessica L Jobe | Registered Nurse | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2020-10-22 |
| 1629689096 | Sarah M Meehan | Registered Nurse | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2020-08-11 |
| 1558918532 | Candice M Teague | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2019-08-23 |
| 1992352165 | Jaclyn N Kissel | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2019-08-22 |
| 1164990560 | Jason D Miller | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2018-11-05 |
| 1437648755 | Krisie L Medler | Registered Nurse | 520 Mary St Ste 520, Evansville, IN 47710 | 2018-05-02 |
| 1114428463 | Jennifer L Hagan | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2018-02-22 |
| 1710429444 | Amber L Gorham | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2016-11-11 |
| 1922418375 | Matthew S Field | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-06 |
| 1952711582 | Alex V Baronowsky | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845159 | Matthew T Langenberg | Surgery | 520 Mary St, Ste 520, Evansville, IN 47710 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456603 | Wickel Vascular Surgery & Medicine PC | Surgery | 1919 State St Ste 444, New Albany, IN 47150-6809 | 2019-06-14 |
| 1154832178 | Allied Physicians of Michiana, LLC | Surgery | 611 E Douglas Rd Ste 308, Mishawaka, IN 46545-1465 | 2017-10-17 |
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1649468364 | South Bend Vein Center for Excelllence, LLC | Surgery | 2025 Edison Rd, South Bend, IN 46637-5599 | 2007-10-09 |
| 1396938031 | Peripheral Vascular Care | Surgery | 640 S Walker St, Bloomington, IN 47403-2158 | 2007-08-27 |
| 1285841502 | Decatur Vein Clinic Hobart, PC | Surgery | 5043 E Lincoln Hwy, Merrillville, IN 46410-5912 | 2007-05-17 |
| 1093881385 | Decatur Vein Clinic, Michigan, PC | Surgery | 645 W Carmel Dr, Suite 101, Carmel, IN 46032-2605 | 2006-11-28 |
| 1962508853 | Indiana Phlebology PC | Surgery | 371 E 84th Dr Ste 371, Merrillville, IN 46410-6484 | 2006-09-16 |
| 1447361928 | The Heart and Vascular Clinic, P.C. | Surgery | 3251 Shawnee Drive South, Bedford, IN 47421 | 2006-08-31 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.