Doctor profile · Federal record
Dr. WANDA AVERHART, M.D.
Pediatrics Physician · LAKE STATION, IN
- NPI 1598184632
- 12 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2490 CENTRAL AVE
LAKE STATION, IN 464052122
(216) 764-5399
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- August 31, 2022
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Indiana #01088252A
- Medicaid
- NY #05412419
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598184632. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| SANOFI PASTEUR INC. | 1 | $27.15 |