MICHAEL WAYNE EATON JR. (NPI# 1336423896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336423896 |
| Entity Type | Individual |
| Full Name | MICHAEL WAYNE EATON JR. |
| Credential | F.N.P |
| Practice Address |
1430 S Main St Suite Number 111 Boerne TX 78006-3332 |
| Mailing Address |
27818 Wild Bloom San Antonio TX 78260-1437 |
| Practice Telephone | 8303318585 |
| Mailing Telephone | 8303318585 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
648521 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114579224 | Michael Eaton | Physical Therapist | 2033 Colonial Ave Sw Unit 138, Roanoke, VA 24015-3210 | 2019-07-10 |
| 1174001788 | Michael C. Eaton | Physical Therapy Assistant | 1901 N State Highway 360 Ste 410, Grand Prairie, TX 75050-1431 | 2018-08-06 |
| 1902817067 | Michael Curtis Eaton | Pharmacist | 221 Charles Lindbergh Dr, Salt Lake City, UT 84116-2811 | 2006-08-11 |
| 1225534373 | Michael Eaton | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2018-04-05 |
| 1154861482 | Michael Eaton | Physical Therapist | 955 Lane Ave Ste 201, Chula Vista, CA 91914-4525 | 2017-03-06 |
| 1962891481 | Michael Ray Eaton | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2015-01-21 |
| 1508065913 | Michael Eaton | Radiology | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2007-07-16 |
| 1265505614 | Michael Anthony Eaton | Physician Assistant | 5427 Whittier Blvd, Los Angeles, CA 90022-4101 | 2006-11-15 |
| 1720006026 | Michael Eaton | Anesthesiology | 601 Elmwood Ave, Box 604, Rochester, NY 14642-0001 | 2006-07-17 |
| 1447252820 | Michael L Eaton | Radiology | 400 E 5th Ave, Spokane, WA 99202-1334 | 2005-08-15 |
| Street Address |
1430 S MAIN ST SUITE NUMBER 111 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732176 | R&r Compounding Pharmacy LLC | Pharmacy | 1430 S Main St, Suite 105, Boerne, TX 78006-3332 | 2015-02-16 |
| 1467765206 | Naomi Brooke Mandel | Counselor | 1430 S Main St, Suite #111, Boerne, TX 78006-3332 | 2010-07-22 |
| 1356394456 | Brenda Carol Arrington | Nurse Practitioner | 1430 S Main St, Suite 111, Boerne, TX 78006-3332 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331117 | Rabecca Teich | Nurse Practitioner | 37131 Interstate 10 W # 400, Boerne, TX 78006-8989 | 2018-10-10 |
| 1710342373 | Kimberly Sweeney | Nurse Practitioner | 1201 S Main St Ste 110, Boerne, TX 78006-2838 | 2015-12-28 |
| 1437529229 | Lauren Marie Stehling | Nurse Practitioner | 37131 Interstate 10 W # 101, Boerne, TX 78006-8989 | 2015-10-06 |
| 1689066797 | Elizabeth Ann Harkins | Nurse Practitioner | 122 Commerce Ave, Boerne, TX 78006-3060 | 2015-02-26 |
| 1043648702 | Lisa Archer | Nurse Practitioner | 29607 Terra Bella, Boerne, TX 78015-4572 | 2013-10-16 |
| 1548535636 | Kelle Pardi | Nurse Practitioner | 16 Comanche Trl, Boerne, TX 78006-6202 | 2012-03-21 |
| 1275818593 | Nancy Diane Beebe | Nurse Practitioner | 31007 Interstate 10 W Ste 115, Boerne, TX 78006-9265 | 2011-10-18 |
| 1306822838 | Martin Joseph Mcgee | Nurse Practitioner | 192 Horizon Crst, Boerne, TX 78006-6050 | 2005-12-16 |
| 1588204077 | Jessica Andrea Henderson | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2020-01-13 |
| 1073156584 | Rochelle Marie Huntsman | Nurse Practitioner | 105 Falls Ct Ste 100, Boerne, TX 78006 | 2019-10-28 |
| Find all providers in BOERNE | ||||
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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.