Wanda Averhart
M.D. | Pediatrics | Female
Wanda Averhart, M.D. is a Lake Station, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Wanda Averhart is
2490 Central Ave, Lake Station, Indiana - 46405-2122. She can be contacted on phone at
216-764-5399.
Wanda Averhart is a sole proprietor of her business.
NPI number (Unique professional ID) for Wanda Averhart is
1598184632 which was assigned by NPPES on 15 Apr, 2014 and it was last updated on 31 Aug, 2022.
Wanda Averhart license number is
01088252A for Pediatrics (208000000X) in Indiana.
Wanda Averhart is a pediatrician who 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.
Complete Profile:
Wanda Averhart basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Wanda Averhart |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Wanda Averhart address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2490 Central Ave
Lake Station, IN, 46405-2122
United States |
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| Phone Number : | 216-764-5399 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598184632 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Apr, 2014 |
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| Last Updated On : | 31 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanda Averhart are as mentioned. Primary taxonomy code for Wanda Averhart, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01088252A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Wanda Averhart such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 05412419 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2490 Central Ave
Lake Station, IN, 46405-2122
United States |
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| Phone Number : | 216-764-5399 |
|---|
Business Location:
Patients can refer following map for directions to
Wanda Averhart practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.