EATON MEDICAL ASSOCIATES PLLC (NPI# 1699914325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699914325 |
Entity Type | Organization |
Organization Name | EATON MEDICAL ASSOCIATES PLLC |
Practice Address |
87 Jackson St Methuen MA 01844-5044 |
Practice Telephone | 9782084756 |
Practice Fax Number | 9786855950 |
Mailing Telephone | 9782084756 |
Mailing Fax Number | 9786855950 |
Enumeration Date | 2009-02-19 |
Last Update Date | 2016-04-29 |
Authorized Official Name | DR. ANTHONY GIBRAN EATON (OWNER) |
Authorized Official Telephone | 9789732740 |
Authorized Official Credential | M.D, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | TUFTS HEALTH PLAN | 469196 | 01 |
MA | BLUE CROSS BLUE SHIELD | J27682 | 01 |
MA | 2061546 | 05 | |
MA | HARVARD PILGRIM HEALTHCARE | AA13929 | 01 |
Street Address |
87 JACKSON ST |
City | METHUEN |
State | MA |
Zip Code | 01844-5044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831193101 | Anthony Gibran Eaton | Internal Medicine | 87 Jackson St, Methuen, MA 01844-5044 | 2005-06-02 |
1730661224 | Sarah Madeline Saurman | Nurse Practitioner | 87 Jackson St, Methuen, MA 01844-5044 | 2018-08-31 |
1568970614 | Fidelia Osifo-selormey | Nurse Practitioner | 87 Jackson St, Methuen, MA 01844-5044 | 2018-01-10 |
1679831960 | Stephanie Elizabeth Ferello | Physician Assistant | 87 Jackson St, Methuen, MA 01844-5044 | 2012-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
Find all providers in zip 01844 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447229307 | Anjana Chakrabarti | General Practice | 60 East St, Suite 1400, Methuen, MA 01844 | 2006-03-14 |
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1881059665 | Optimal Professional Health Services PC | General Practice | 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 | 2015-12-22 |
1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
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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.