Anne J Eliades, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01030055A Issued in IN

Practice address

2525 W University Ave
Suite 404
Muncie, IN 47303-3421

Phone

(765) 289-2616

Fax

(765) 741-3934

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1154320992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N REDDING RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041252",
            "telephone_number": "765-289-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 404",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033421",
            "telephone_number": "765-289-2616",
            "fax_number": "765-741-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIADES",
        "first_name": "ANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01030055A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100105670A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Elbrecht, D.D.S.
• Electrocardiographic Interpretation Service, Inc.
• Jason L Elenburg, PT
• Rachel Leanne Eleniste, PHARMD
• Milissa A Eley, MD
• John Eliades, MD
• Elite Healthcare of Muncie Inc.
• Ellen Lucas PH.D. P.C.
• Dekayla Elliott
• Sharra Elliott

• Pediatrics Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.