DOUGLAS EULBERG (NPI# 1558353904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558353904 |
| Entity Type | Individual |
| Full Name | DOUGLAS EULBERG |
| Credential | PA-C |
| Practice Address |
3075 Governors Place Blvd Suite 120 Dayton OH 45409-1323 |
| Mailing Address |
415 Colonial Dr Beavercreek OH 45434-5807 |
| Practice Telephone | 9374242580 |
| Practice Fax Number | 9374242581 |
| Mailing Telephone | 9374278018 |
| Mailing Fax Number | 9374242581 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50-000152 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3075 GOVERNORS PLACE BLVD SUITE 120 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972052819 | Lindsey Fancett | Physician Assistant | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1323 | 2016-10-03 |
| 1922406552 | Christina Hunt | Registered Nurse | 3075 Governors Place Blvd, Dayton, OH 45409-1323 | 2014-12-14 |
| 1699966325 | Bruce Banias Md LLC | Obstetrics & Gynecology | 3075 Governors Place Blvd, Suite 210, Dayton, OH 45409-1323 | 2007-08-07 |
| 1184762122 | Shobha R Wani | Internal Medicine | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1323 | 2007-02-02 |
| 1912087511 | Dayton Arthritis and Allergy Center LLC | Internal Medicine | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1323 | 2006-10-17 |
| 1114901188 | Michael Wayne Stevens | Internal Medicine | 3075 Governors Place Blvd, Ste 110, Dayton, OH 45409-1332 | 2005-12-02 |
| 1588648554 | Thomas Werner Henderson | Internal Medicine | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 | 2005-12-02 |
| 1144204538 | Susan Holliday Barde | Pediatrics | 3075 Governors Place Blvd, Ste 110, Dayton, OH 45409-1332 | 2005-11-30 |
| 1487638870 | Aliya Usman Khan | Internal Medicine | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558668780 | Adam Joseph Thomas | Physician Assistant | 1 Elizabeth Pl Bldg G, Dayton, OH 45417-3445 | 2011-02-24 |
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1487722526 | Nancy Moyer Solada | Physician Assistant | 1989 Miamisburg Centerville Rd Ste 201, Dayton, OH 45459-3858 | 2006-11-30 |
| 1467417386 | James D. Welsh | Physician Assistant | 1427 Business Center Ct, Dayton, OH 45410-3300 | 2006-04-20 |
| 1417937558 | Anthony S Allen | Physician Assistant | 5 Pine Cone Rd, Suite 102, Dayton, NV 89403-7393 | 2006-01-17 |
| 1730791146 | Shannon Hayes | Physician Assistant | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2020-08-18 |
| 1164052395 | Andrew Conroy | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-01-15 |
| 1396307138 | Aleesha Mae Schafers | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-07-02 |
| 1073079190 | Mckenzie Wheeler | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-02-13 |
| 1073084703 | Leah Ann Hare | Physician Assistant | 3716 Wilmington Pike, Dayton, OH 45429-4845 | 2018-12-06 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DOUGLAS EULBERG.
| 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.