RAYMOND C TERVO (NPI# 1912088550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912088550 |
| Entity Type | Individual |
| Full Name | RAYMOND C TERVO |
| Credential | MD |
| Practice Address |
3900 Washington Ave Ste 100 Evansville IN 47714 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8124856694 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01077656A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 40431 | MN | Allopathic & Osteopathic Physicians |
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
01077656A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 931227700 | 05 |
| Street Address |
3900 WASHINGTON AVE STE 100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714 |
| 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 |
| 1750596656 | Tri-state Pediatric Associates LLC | Pediatrics | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2007-05-14 |
| 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 | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003915323 | Vibha Krishnamurthy | Pediatrics | Ummeed Child Dev Center, G-f, Mantripride, !b, 1/62, N.m. Joshi Mary Lowe, IN 400005 | 2006-09-22 |
| 1730445495 | Kelly Marie Brinkley | Pediatrics | 8402 Harcourt Rd Ste 105, Indianapolis, IN 46260 | 2012-04-06 |
| 1124319462 | Celanie K Christensen | Pediatrics | 705 Riley Hospital Dr, Ri 1601, Indianapolis, IN 46202-5109 | 2011-04-20 |
| 1821247479 | Community Hospitals of Indiana Inc | Pediatrics | 7120 Clearvista Dr, Suite 3700, Indianapolis, IN 46256-1621 | 2008-09-18 |
| 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.