MARIA A. PEDUK (NPI# 1679713366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679713366 |
Entity Type | Individual |
Full Name | MARIA A. PEDUK |
Credential | M.D. |
Practice Address |
1 N Barker Ave Evansville IN 47712-5601 |
Mailing Address |
415 Mulberry Street Evansville IN 47713-1230 |
Practice Telephone | 8124234418 |
Practice Fax Number | 8124227558 |
Mailing Telephone | 8124237791 |
Mailing Fax Number | 8124227558 |
Enumeration Date | 2009-02-20 |
Last Update Date | 2014-06-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01026759 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | CSR | 01026759C | 01 |
IN | 100084170A | 05 | |
IN | CAQH | 11955938 | 01 |
IN | DEA | FP1298543 | 01 |
Street Address |
1 N BARKER AVE |
City | EVANSVILLE |
State | IN |
Zip Code | 47712-5601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841467859 | Dana L Porter Brown | Registered Nurse | 1 N Barker Ave, Evansville, IN 47712-5601 | 2008-05-09 |
1639636715 | Leslee Feller | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2019-02-26 |
1669961256 | Thea Leigh Luigs | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2018-05-09 |
1043737380 | Abbi Sisson | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2017-08-28 |
1346626389 | Kelsey Ginder | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2015-07-31 |
1841617651 | Ashley M Rodgers | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2014-03-19 |
1578999207 | Allyson Huett | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2013-09-26 |
1205153087 | Wendy James | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2010-05-03 |
1316261761 | Amy Siddens Land | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2010-03-15 |
1659527745 | Katie Beitler | Social Worker | 1 N Barker Ave, Evansville, IN 47712-5601 | 2008-08-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
Find all providers in zip 47712 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
1295864015 | James Gus Schreiber | Psychiatry & Neurology | 414 Se Riverside Dr # C, Evansville, IN 47713-1038 | 2007-03-05 |
1508973934 | Tracy R Woodward | Psychiatry & Neurology | 1133 Lincoln Ave 201, Evansville, IN 47714-1028 | 2006-08-23 |
1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
1194738211 | Gregory J Unfried | Psychiatry & Neurology | 410 Mulberry St, Evansville, IN 47713-1231 | 2006-08-14 |
1881681658 | Gene Flick | Psychiatry & Neurology | 5200 Washington Ave Ste E, Evansville, IN 47715 | 2005-10-05 |
1538155031 | Chaovanee Poosuthasee | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-21 |
1316562499 | John Douglas Wathen | Psychiatry & Neurology | 415 Mulberry St, Evansville, IN 47713-1230 | 2020-06-14 |
1992271811 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2018-10-18 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47712 |
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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.