EUREKA PEDIATRICS (NPI# 1578758470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578758470 |
| Entity Type | Organization |
| Organization Name | EUREKA PEDIATRICS |
| Practice Address |
515 N Virginia Ave Eureka MO 63025-1115 |
| Practice Telephone | 6365873000 |
| Practice Fax Number | 6365872243 |
| Mailing Telephone | 6365873000 |
| Mailing Fax Number | 6365872243 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | MR. TED ALLEN GREEN (OWNER) |
| Authorized Official Telephone | 6365873000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
515 N VIRGINIA AVE |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395102 | Doug S Nozaki | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2006-08-19 |
| 1225324569 | Amanda Groebl Judilla | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2011-06-24 |
| 1831200476 | Ted Allen Green | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395102 | Doug S Nozaki | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2006-08-19 |
| 1487636940 | Lois Anne Freisleben-cook | Pediatrics | 6155 Marge Ct, Eureka, CA 95503-6696 | 2005-11-18 |
| 1235133737 | Emily Lambert Dalton | Pediatrics | 2800 Harris St, Eureka, CA 95503-4809 | 2005-06-13 |
| 1689053738 | Michael Francis Mangahas | Pediatrics | 2200 Tydd St, Eureka, CA 95501 | 2015-05-21 |
| 1629402466 | Anna Robertson | Pediatrics | 2200 Tydd Street, Suite 203, Eureka, CA 95501 | 2013-08-28 |
| 1780028340 | Lauren Elisabeth Zenner Steele | Pediatrics | 2200 Tydd St, Eureka, CA 95501-1284 | 2013-04-24 |
| 1225324569 | Amanda Groebl Judilla | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2011-06-24 |
| 1942521232 | Devin Scott Kenji Wong | Pediatrics | 2200 Tydd St, Eureka, CA 95501-1284 | 2010-06-21 |
| 1124107081 | John James Sullivan | Pediatrics | 525 2nd St, #300, Eureka, CA 95501-5107 | 2006-11-03 |
| 1174612550 | Laurie S Wirthlin | Pediatrics | 2800 Harris St, Eureka, CA 95503-4809 | 2006-10-12 |
| Find all providers in EUREKA | ||||
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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.