EICHELBERGER MEDICAL PRACTICE, P.A. (NPI# 1073820254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073820254 |
| Entity Type | Organization |
| Organization Name | EICHELBERGER MEDICAL PRACTICE, P.A. |
| Practice Address |
1610 James Bowie Drive Suite A103 Baytown TX 77520-3346 |
| Practice Telephone | 2814278502 |
| Practice Fax Number | 2814205575 |
| Mailing Telephone | 2814278502 |
| Mailing Fax Number | 2814205575 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | DR. PHILIP THEODRIC EICHELBERGER JR. (PRESIDENT) |
| Authorized Official Telephone | 2814278502 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C6308 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122199604 | 05 |
| Street Address |
1610 JAMES BOWIE DRIVE SUITE A103 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851438 | Philip Theodric Eichelberger Jr. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
| 1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| Find all providers in zip 77520 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851438 | Philip Theodric Eichelberger Jr. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2006-10-05 |
| 1013245133 | Patricia A. Frey, M.d., P.a. | General Practice | 4201 Garth Rd, Suite 290, Baytown, TX 77521-3167 | 2009-12-01 |
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| Find all providers with the same taxonomy | ||||
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| 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.