Edward A Trudeau (NPI# 1841250339, PAC ID# 1850562265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1841250339 |
| PAC ID by PECOS | 1850562265 |
| Professional Enrollment ID | I20110915000307 |
| Full Name | Edward A Trudeau |
| Address |
319 E Madison St Suite 2a Springfield IL 62701-1035 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 319 E Madison St, Suite 2a, Springfield, IL 62701-1035 | ||
| 319 E Madison St, 1f, Springfield, IL 62701-1035 | 2177883948 | MEMORIAL MEDICAL CENTER |
| 701 N 1st St, Springfield, IL 62781-0001 | 8005775368 | MEMORIAL MEDICAL CENTER |
| Street Address |
319 E MADISON ST SUITE 2A |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62701-1035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Jeanne M Hansen | Clinical Social Worker | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Eric Richard Black | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Linda J Read | Nurse Practitioner | Memorial Medical Center | 319 E Madison St, 1f, Springfield, IL 62701-1035 |
| Kelsi Lynn Dobson | Clinical Social Worker | Memorial Medical Center | 319 E Madison St, 1f, Springfield, IL 62701-1035 |
| Anthony J Lucca | Physician Assistant | Memorial Medical Center | 319 E Madison St, 1f, Springfield, IL 62701-1035 |
| Kelly A Kendall | Clinical Social Worker | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Tiffany A Turner | Nurse Practitioner | Memorial Medical Center | 319 E Madison St, 1f, Springfield, IL 62701-1035 |
| Kalyan Kandra | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Ayame Takahashi | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Raja C Maddipoti | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Meredith M Fleming | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Julie C Borjon | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Connie L Robinson | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Mark Jung-ching Shen | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer Nichelson | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shankho Ganguli | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shauna B Vogler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in zip 62701 | |||
| City | SPRINGFIELD |
| Zip Code | 62701 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | SPRINGFIELD + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Edward A Trudeau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.