KAREN LEA ELDEVICK MD
NPI 1962493718
Family Medicine - Adult Medicine in Marinette, WI

Q: What is Karen Eldevick's NPI number?

The NPI number for Karen Eldevick is 1962493718. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Q: What is Karen Eldevick's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Karen Eldevick was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2005

2820 ROOSEVELT ROAD, MARINETTE, WI 54143(715) 735-5225(715) 735-5388 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2018, Nov 1, 2016 (2 updates tracked since 2016).

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About Karen Lea Eldevick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN LEA ELDEVICK MD (NPI 1962493718) is an individual adult medicine provider in Marinette, Wisconsin, licensed in Wisconsin (64279-20) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1962493718

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameKAREN LEA ELDEVICKCredential: MD

Location Address2820 ROOSEVELT ROADMarinette, WI 54143-3834

Mailing AddressPo Box 1866Green Bay, WI 54305-1866 · (920) 445-7222 · Fax (920) 445-7289

Phone(715) 735-5225

Fax(715) 735-5388

Sole ProprietorNo

Enumeration DateNovember 1, 2005

Last NPPES UpdateNovember 2, 20182 updates tracked since enumeration

✔ NPI 1962493718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in WI · 64279-20

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301051670 (MI)

2820 ROOSEVELT ROAD, Marinette, WI 54143

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Other Identifiers 3

OtherKE051670MI · Bcbs Of Michigan

Medicaid2674383MI

Other080036025MI · Railroad Medicare

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES W OPOIEN MD PHD

Family Medicine