MRS. MARGARET PENDLEY ELTZROTH (NPI# 1215060694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215060694 |
| Entity Type | Individual |
| Full Name | MRS. MARGARET PENDLEY ELTZROTH |
| Credential | LLC |
| Practice Address |
1202 W Buena Vista Road Suite 204 Evansville IN 47710-5185 |
| Mailing Address |
1202 W Buena Vista Rd Suite 204 Evansville IN 47710-5185 |
| Practice Telephone | 8124290399 |
| Practice Fax Number | 8124290708 |
| Mailing Telephone | 8124290399 |
| Mailing Fax Number | 8124290708 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
34001189A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 35000576A | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000331532 | 01 |
| Street Address |
1202 W BUENA VISTA ROAD SUITE 204 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-5185 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738560 | When Ready Counseling, LLC | Counselor | 4770 Covert Ave Ste 216d, Evansville, IN 47714-5663 | 2020-07-31 |
| 1952966046 | Amy Evans | Counselor | 629 Ingle St, Evansville, IN 47708-1345 | 2019-05-05 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1568541548 | Marcia Hires | Counselor | 600 N Weinbach Ave Ste 730, Evansville, IN 47711-5977 | 2006-11-02 |
| 1689280950 | Whitney Janine Bennett | Counselor | 201 Nw 4th St Ste 107, Evansville, IN 47708-1356 | 2020-09-21 |
| 1649897018 | Rachael M Virgin | Counselor | 629 Ingle St, Evansville, IN 47708-1345 | 2020-07-01 |
| 1093226664 | Aly Griggs | Counselor | 4847 E Virginia St, Evansville, IN 47715-2611 | 2017-10-23 |
| 1518408350 | Maurice Patrick Backer | Counselor | 201 Nw 4th St, Suite 107, Evansville, IN 47708-1350 | 2017-03-13 |
| 1417405762 | Whitney Deloach | Counselor | 1510 W Franklin St, Evansville, IN 47710-1032 | 2016-09-15 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on MRS. MARGARET PENDLEY ELTZROTH.
| 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.