DAVID RYAN ELDRIDGE (NPI# 1457622086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457622086 |
| Entity Type | Individual |
| Full Name | DAVID RYAN ELDRIDGE |
| Credential | LPC |
| Practice Address |
12305 Mastin St Overland Park KS 66213-1810 |
| Practice Telephone | 8168537515 |
| Mailing Telephone | 8168537515 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2311 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870395 | David M Eldridge | Pharmacist | 509 Mccollum St, La Porte, IN 46350-5113 | 2019-09-18 |
| 1710289640 | David Craig Eldridge | Optometrist | 6603 E 112th St S, Bixby, OK 74008-2059 | 2010-11-29 |
| 1386622967 | David Marchant Eldridge | Internal Medicine | John Cuming Bldg, #840, Concord, MA 01742 | 2006-01-04 |
| 1700448339 | David Benjamin Eldridge | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1164964128 | David Eldridge | Registered Nurse | 905 Montgomery St, Decorah, IA 52101-2325 | 2016-11-08 |
| 1013319540 | David Anthony Eldridge | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2014-09-16 |
| 1083852883 | David F Eldridge | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2009-02-02 |
| 1609935980 | David K Eldridge | Physical Therapist | 2500 Marina Bay Dr, Ste P, League City, TX 77573-2860 | 2006-12-06 |
| 1841260254 | David H Eldridge | Optometrist | 300 S Beverly Dr, #307, Beverly Hills, CA 90212-4808 | 2006-01-26 |
| 1407830854 | David L Eldridge | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatric Outpatient Center, Greenville, NC 27834-4300 | 2005-11-30 |
| Street Address |
12305 MASTIN ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711371 | Danielle Edwards | Counselor | 9207 W 121st Ter, Overland Park, KS 66213-1546 | 2020-08-18 |
| 1508476524 | Catrina Brown | Counselor | 9393 W 110th St Ste 517, Overland Park, KS 66210-1442 | 2020-08-04 |
| 1336757863 | Drew W Stein | Counselor | 10429 W 117th Ter Apt 59, Overland Park, KS 66210-3809 | 2020-07-21 |
| 1003433988 | Brandi Hudson | Counselor | 6801 W 121st St Ste 123, Overland Park, KS 66209-2005 | 2020-06-26 |
| 1750905790 | Heather Hargrove | Counselor | 5750 W 95th St Ste 220, Overland Park, KS 66207-2969 | 2020-06-05 |
| 1457984833 | Reilly Dodd | Counselor | 10975 Benson Dr Ste 360, Overland Park, KS 66210-1569 | 2020-02-13 |
| 1194363127 | Jennifer Berniece Schmidt | Counselor | 9401 Indian Creek Pkwy Ste 520, Overland Park, KS 66210-2013 | 2019-12-20 |
| 1952960858 | Sydney Hobson | Counselor | 6400 W 110th St Ste 202, Overland Park, KS 66211-1585 | 2019-06-13 |
| 1013471226 | Mindworx, Pa | Counselor | 10975 Benson Dr, Overland Park, KS 66210-1569 | 2019-01-22 |
| 1760946909 | Kansas Center for Couples and Families | Counselor | 10975 Benson Dr Ste 390, Overland Park, KS 66210-2120 | 2019-01-22 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on DAVID RYAN ELDRIDGE.
| 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.