TRI-STATE PEDIATRIC ASSOCIATES LLC
NPI 1750596656
Pediatrics in Evansville, IN

NPI Status: Active since May 14, 2007

Contact Information

3900 WASHINGTON AVE STE 100
EVANSVILLE, IN
ZIP 47714
Phone: (812) 485-7784
Fax: (812) 485-4372

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  • Organization
  • Pediatrics

About TRI-STATE PEDIATRIC ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Tri-state Pediatric Associates Llc, a pediatrician established in Evansville, Indiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1750596656 assigned on May 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Bruce P Williams M.d. (Ceo)

NPI
1750596656
Provider Name
TRI-STATE PEDIATRIC ASSOCIATES LLC
Entity Type
Organization
Location Address
3900 WASHINGTON AVE STE 100 EVANSVILLE, IN 47714
Location Phone
(812) 485-7784
Location Fax
(812) 485-4372
Mailing Address
PO BOX 5246 EVANSVILLE, IN 47716
Mailing Phone
(812) 485-7784
Mailing Fax
(812) 485-4372
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2007
Last Update Date
06-23-2008
Code Navigator

A pediatrician like Tri-state Pediatric Associates Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE P WILLIAMS M.D.

Authorized Official Title
CEO
Authorized Official Phone
(812) 485-6695

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100437790BMEDICAID (05)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750596656
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710010912610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 9 + 1 + 2 + 6 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750596656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316483316 BENJAMIN W SMITH JR. LCSW
Individual
Social Worker (Clinical)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1912088550 RAYMOND C TERVO MD
Individual
Pediatrics (Neurodevelopmental Disabilities)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1508290651MRS. MEGEN ELIZABETH BROWN FNP-BC
Individual
Nurse Practitioner (Family)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1154332682DR. DONALD E. GEORGE MD
Individual
Pediatrics (Pediatric Gastroenterology)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1457767642DR. SARAH E. SPURLING PH.D.
Individual
Psychologist (Clinical Child & Adolescent)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1043900665 HELEN SCHNARR RD
Individual
Dietitian, Registered3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1215256086 RAKESH KUMAR M.D.
Individual
Pediatrics (Pediatric Gastroenterology)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1386689354 REBECCA G CAREY MD
Individual
Pediatrics (Pediatric Gastroenterology)3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694
1124328091MRS. ANA MARIA GEBHARDT OTR/L
Individual
Occupational Therapist3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
(812) 485-6694

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750596656, enumerated in the NPI registry as an "organization" on May 14, 2007

The provider is located at 3900 Washington Ave Ste 100 Evansville, In 47714 and the phone number is (812) 485-7784

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.