MICHAEL W. EDEN (NPI# 1447284724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447284724 |
| Entity Type | Individual |
| Full Name | MICHAEL W. EDEN |
| Credential | M.D. |
| Practice Address |
100 N Eagle Creek Dr Lexington KY 40509-1805 |
| Practice Telephone | 8592585102 |
| Practice Fax Number | 8592585799 |
| Mailing Telephone | 8592585102 |
| Mailing Fax Number | 8592585799 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28085 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE LAB GROUP | 4000501 | 01 |
| KY | RR MEDICARE GROUP | CB5773 | 01 |
| KY | ASC MEDICARE GROUP | ASC1019 | 01 |
| KY | ASC MEDICAID GROUP | 36000818 | 01 |
| KY | MEDICARE LAB NUMBER | 4000501 | 01 |
| KY | 64280852 | 05 | |
| KY | MEDICAID LAB GROUP | 37903705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568812642 | Michael Eden | Internal Medicine | 147 N Brent St, Ventura, CA 93003-2809 | 2016-06-20 |
| 1548653496 | Michael S Eden Jr. | Specialist/Technologist | 2300 W Innes St, Salisbury, NC 28144-2441 | 2015-03-16 |
| Street Address |
100 N EAGLE CREEK DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657367 | Cammual Dylan Suttor | Internal Medicine | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2005-05-24 |
| 1912405416 | Stephanie Middleton | Nurse Practitioner | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2018-01-30 |
| 1164934733 | Erin Torres | Dietitian, Registered | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-11-03 |
| 1669909230 | Carrie Dunaway Graves | Nurse Practitioner | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-05-15 |
| 1225563521 | Erica Millay | Physician Assistant | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-04-24 |
| 1346623857 | Joshua Eason | Family Medicine | 100 N Eagle Creek Dr, Lexington, KY 40509 | 2015-07-01 |
| 1982947958 | Shuya Wu | Allergy & Immunology | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2013-03-28 |
| 1417226879 | Bettye M. Hanks | Pharmacist | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2011-12-14 |
| 1124397583 | Ann E. Armbruster | Pharmacist | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2011-12-14 |
| 1376850099 | Bruce Edward Bradley | Internal Medicine | 100 N Eagle Creek Dr, Lexington, KY 40509 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1922624774 | Cindy Viers | Family Medicine | 310 Oxford Rd, Lexington, OH 44904-1039 | 2020-06-17 |
| 1992338818 | Sarah Angelina Clem | Family Medicine | 2251 War Admiral Way Ste 125, Lexington, KY 40509-2546 | 2020-02-19 |
| 1073144481 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 | 2020-02-04 |
| 1952955056 | Preferred Injury Physicians LLC | Family Medicine | 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | 2019-07-26 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| 1881258085 | Mallory Jade Guagenti | Family Medicine | 3399 Tates Creek Rd Ste 230, Lexington, KY 40502-7404 | 2019-04-24 |
| 1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
| Find all providers in LEXINGTON | ||||
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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.