TRI-STATE PEDIATRIC ASSOCIATES LLC (NPI# 1750596656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750596656 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PEDIATRIC ASSOCIATES LLC |
| Practice Address |
3900 Washington Ave Ste 100 Evansville IN 47714-0550 |
| Mailing Address |
Po Box 5246 Evansville IN 47716-5246 |
| Practice Telephone | 8124857784 |
| Practice Fax Number | 8124854372 |
| Mailing Telephone | 8124857784 |
| Mailing Fax Number | 8124854372 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. BRUCE P WILLIAMS (CEO) |
| Authorized Official Telephone | 8124856695 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100437790B | 05 |
| Street Address |
3900 WASHINGTON AVE STE 100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386689354 | Rebecca G Carey | Pediatrics | 3900 Washington Ave Ste 100, Evansville, IN 47714 | 2006-06-16 |
| 1821600982 | Taylor Ann Main | Nurse Practitioner | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2020-08-20 |
| 1316483316 | Benjamin W Smith Jr. | Social Worker | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2017-01-13 |
| 1457767642 | Sarah E. Spurling | Psychologist | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2014-07-08 |
| 1508290651 | Megen Elizabeth Brown | Nurse Practitioner | 3900 Washington Ave Ste 100, Evansville, IN 47714 | 2013-08-26 |
| 1912088550 | Raymond C Tervo | Pediatrics | 3900 Washington Ave Ste 100, Evansville, IN 47714 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740696335 | Erin Magdalene Harpenau | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725-1121 | 2014-07-03 |
| 1609130558 | Joshua Andrew Fife | Pediatrics | 3900 Washington Ave # 100, Evansville, IN 47714-0550 | 2012-06-26 |
| 1548570112 | Gary Eugene Underhill | Pediatrics | 508 Martins Ln, Evansville, IN 47715-3732 | 2010-10-18 |
| 1306166517 | James Wayne Hansen | Pediatrics | 5600 Spring Park Dr, Evansville, IN 47711-1838 | 2010-06-10 |
| 1043466329 | Deaconess Clinic, Inc | Pediatrics | 15814 Neeley St, Evansville, IN 47725-8420 | 2008-08-18 |
| 1194864017 | Jill Suzanne Smith | Pediatrics | 3900 Washington Ave Ste 200, Evansville, IN 47714-0550 | 2007-02-06 |
| 1821136854 | Taniza N Karim | Pediatrics | 3700 Bellemeade Av, Ste 117, Evansville, IN 47714-0106 | 2007-02-02 |
| 1609940998 | Robert Wade Ransdell | Pediatrics | 801 St. Mary's Dr., Suite 405east, Evansville, IN 47714 | 2006-11-20 |
| 1083651129 | William Selby | Pediatrics | 7220 E Virginia St, Evansville, IN 47715-4068 | 2006-05-31 |
| 1003883265 | Mohammad I Hussain | Pediatrics | 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 | 2006-03-07 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.