MR. ANDRAS T. EDER


Address: 815 Main St Ste C, Peoria, IL 61602-1080
Phone: 3096724977

MR. ANDRAS T. EDER (NPI# 1851603146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851603146
Entity Type Individual
Full Name MR. ANDRAS T. EDER
Credential MD
Practice Address 815 Main St Ste C
Peoria
IL 61602-1080
Mailing Address 4470 33rd Pl
San Diego
CA 92116-4507
Practice Telephone 3096724977
Mailing Telephone 6199952529
Enumeration Date 2010-07-02
Last Update Date 2020-04-27
NPI Deactivation Date 04/16/2020
NPI Reactivation Date 2020-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 815 MAIN ST STE C
City PEORIA
State IL
Zip Code 61602-1080

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134357056 Jeffrey S. Leman Family Medicine 815 Main St Ste C, Peoria, IL 61602-1080 2009-06-30
1710507892 Allison C Brooks Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-20
1134749245 Carrie Ann Downing-larick Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-18
1124648365 Erin Melissa Wheeler Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-17
1427678705 Catie Anderson Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-16
1366061681 Andrew Langston West Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-16
1164041489 Elena Patel Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-16
1386264653 Sophie Huang Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-16
1992325294 Paul Goldsmith Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2020-04-16
1992368096 Lizabeth Kaeb Student in an Organized Health Care Education/Training Program 815 Main St Ste C, Peoria, IL 61602-1080 2019-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
Find all providers in zip 61602

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821609751 Amanda Ferreira Student in an Organized Health Care Education/Training Program 7421 W Shangri La Rd, Peoria, AZ 85345-5811 2020-08-13
1699396838 Ashif Khaled Molla Student in an Organized Health Care Education/Training Program Osf St Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-04-28
1437779063 Mena Henien Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave Bldg 5676, Peoria, IL 61637-0001 2020-04-23
1306465893 Sarath Kumar Jaganathan Jaishankar Student in an Organized Health Care Education/Training Program 530 Ne Glenn Oak Avenue, Peoria, IL 61637-0001 2020-04-14
1952920522 Phu Si Huynh Student in an Organized Health Care Education/Training Program 331 Fulton St Apt 302, Peoria, IL 61602-1436 2020-04-13
1730736604 Gabriela C Isenia Student in an Organized Health Care Education/Training Program 9031 W Tonopah Dr, Peoria, AZ 85382-6445 2019-08-24
1831751643 Noreen Khan Student in an Organized Health Care Education/Training Program 1501 W Coneflower Dr Apt 2212, Peoria, IL 61615-7465 2019-07-01
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61602

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Dataset Information

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.

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