DR. EDWARD A TRUDEAU (NPI# 1841250339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841250339 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A TRUDEAU |
| Credential | M.D. |
| Practice Address |
319 E Madison St Ste 2a Springfield IL 62701-1035 |
| Practice Telephone | 2177883377 |
| Practice Fax Number | 2177885505 |
| Mailing Telephone | 2177883377 |
| Mailing Fax Number | 2177885505 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 036062396 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036062396 | 05 |
| Street Address |
319 E MADISON ST STE 2A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669752036 | Edward A Trudeau Md Sc | Physical Medicine & Rehabilitation | 319 E Madison St Ste 2a, Springfield, IL 62701-1035 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1467452813 | Edward R Douglas | Neuromusculoskeletal Medicine & OMM | 3829 S Jefferson Ave, Springfield, MO 65807-5376 | 2005-07-28 |
| 1851390199 | Mark Maccollom Morris | Neuromusculoskeletal Medicine & OMM | 26 Millburn Ave, Springfield, NJ 07081-1071 | 2005-07-19 |
| 1649695917 | Stephanie Harris | Neuromusculoskeletal Medicine & OMM | 3355 Riverbend Dr, Springfield, OR 97477-8800 | 2014-02-24 |
| 1457402752 | Advanced Alternative Healthcare, LLC | Neuromusculoskeletal Medicine & OMM | 3829 S Jefferson Ave, Springfield, MO 65807-5376 | 2007-01-15 |
| 1578504171 | Stephen E. Popper | Neuromusculoskeletal Medicine & OMM | 2501 E High St, Springfield, OH 45505 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436330 | Christopher Sugihara Ngo | Neuromusculoskeletal Medicine & OMM | 2135 Dorothy Dr Ste 6, Belleville, IL 62223-7751 | 2012-04-19 |
| 1770749434 | Cheryl B Schwartz | Neuromusculoskeletal Medicine & OMM | 240 Saunders Road, Riverwoods, IL 60015-3835 | 2008-08-01 |
| 1114063989 | Gajda Sports Medical Center Ltd | Neuromusculoskeletal Medicine & OMM | 400 Lake Cook Road Suite 200c, Deerfield, IL 60015 | 2007-01-29 |
| 1750453858 | Carol Calhoun Williams | Neuromusculoskeletal Medicine & OMM | 124 E 8th St, Gibson City, IL 60936-1455 | 2006-11-14 |
| 1336225317 | Advantage Medical Group S.c. | Neuromusculoskeletal Medicine & OMM | 12770 S Harlem Ave, Palos Heights, IL 60463-2145 | 2006-10-31 |
| 1851485346 | Bernadette Goheen Kohn | Neuromusculoskeletal Medicine & OMM | 5404 W. Elm Street, Suite Q, Mchenry, IL 60050-4052 | 2006-10-02 |
| 1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
| 1669429908 | Lee Peter Bee | Neuromusculoskeletal Medicine & OMM | 107 W Franklin St, Sesser, IL 62884-1456 | 2006-05-30 |
| 1245293794 | James Randall Sigler | Neuromusculoskeletal Medicine & OMM | 909 W 3rd St, Mount Carmel, IL 62863-1718 | 2006-04-07 |
| 1356315246 | Mark Jennings | Neuromusculoskeletal Medicine & OMM | Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.