ALLYSON LEIGH PELUDAT (NPI# 1639678451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639678451 |
| Entity Type | Individual |
| Full Name | ALLYSON LEIGH PELUDAT |
| Credential | PA |
| Practice Address |
4600 Memorial Dr Ste W3 Belleville IL 62226-5359 |
| Practice Telephone | 6182228900 |
| Practice Fax Number | 6184164449 |
| Mailing Telephone | 6182228900 |
| Mailing Fax Number | 6184164449 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1150728 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4600 MEMORIAL DR STE W3 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568480374 | John J Lehman Jr. | Internal Medicine | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2006-07-18 |
| 1649771544 | Lindsey Michelle Senci | Clinical Nurse Specialist | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2018-02-26 |
| 1760657266 | Elizabeth L Capasso-gulve | Physician Assistant | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2008-04-25 |
| 1437364973 | Norbert K Urbanski | Internal Medicine | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657059 | Joseph Shipman | Physician Assistant | 13604 Pinewood Ln, Belleville, MI 48111-2030 | 2015-04-22 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1366433286 | Janet P. Rudderham | Physician Assistant | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2005-10-31 |
| 1396375788 | Emily Jean Sloan | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-01-24 |
| 1689188765 | Hill & Desire Healthcare Pllc | Physician Assistant | 25 Owen St, Belleville, MI 48111-2921 | 2017-11-28 |
| 1881138576 | Kathryn Elizabeth Markferding | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2016-12-14 |
| 1427458454 | Jenny Kalina | Physician Assistant | 5 Franklin Ave, Belleville, NJ 07109-3532 | 2014-08-27 |
| 1013352558 | Lucknie Ovincy | Physician Assistant | 50 Newark Ave, Belleville, NJ 07109-1185 | 2013-05-09 |
| 1417203928 | Bhargavi Jitendra Patel | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2012-08-02 |
| 1437275252 | Nancy C Braddock | Physician Assistant | 311 W Lincoln St, Ste 201, Belleville, IL 62220-1902 | 2007-03-22 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
Please comment or provide details below to improve the information on ALLYSON LEIGH PELUDAT.
| 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.