DR. PETER JULIUS EDENHOFFER (NPI# 1790898963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790898963 |
| Entity Type | Individual |
| Full Name | DR. PETER JULIUS EDENHOFFER |
| Credential | M.D. |
| Practice Address |
2655 Ne Loop 286 Paris TX 75460-3444 |
| Practice Telephone | 9037841593 |
| Practice Fax Number | 9037846807 |
| Mailing Telephone | 9037841593 |
| Mailing Fax Number | 9037846807 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J7476 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0813743-01 | 05 |
| Street Address |
2655 NE LOOP 286 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326096 | Anesthesiology Management Associates of Paris, LLC | Anesthesiology | 2655 Ne Loop 286, Paris, TX 75460-3444 | 2020-01-28 |
| 1851653042 | Net Neurodiagnostic Services,inc | Specialist | 2655 Ne Loop 286, Paris, TX 75460-3444 | 2012-06-13 |
| 1770801417 | Neurology Care Associates,pa | Specialist | 2655 Ne Loop 286, Paris, TX 75460-3444 | 2010-05-05 |
| 1306087606 | Morris Tobin, M.d., P.a. | Specialist | 2655 Ne Loop 286, Paris, TX 75460-3444 | 2009-03-16 |
| 1942330733 | Net Neurodiagnostic Clinic,pa | Clinic/Center | 2655 Ne Loop 286, Paris, TX 75460-3444 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407586 | Chance Hensley | Specialist | 3195 Lamar Ave, Paris, TX 75460-5019 | 2014-08-07 |
| 1306184635 | Brittany Brianne Williams | Specialist | 110 Laurel Ln, Paris, TN 38242-7934 | 2013-01-21 |
| 1407159270 | Robert M. Young, M.d.,p.a. | Specialist | 2870 Lewis Lane, Suite 228, Paris, TX 75460-9380 | 2010-12-16 |
| 1356597983 | Joe Dick Mobley IIi | Specialist | 1002 Cornerstone Dr., Suite A, Paris, TN 38242 | 2008-08-14 |
| 1457546665 | Loden Vision Center of Paris, Plc | Specialist | 1024 Kelley Drive, Paris, TN 38242-4500 | 2007-09-11 |
| 1780708008 | Digestive Disease Center | Specialist | 2870 Lewis Ln Ste 230, Paris, TX 75460-9380 | 2007-03-19 |
| 1326050956 | David H Taylor | Specialist | 707 Lamar Ave Ste K, Paris, TX 75460-4460 | 2006-08-12 |
| 1750317186 | Tijerina Urology Clinic, Pa | Specialist | 811 E Austin St, Paris, TX 75460-7353 | 2006-06-25 |
| 1598761777 | Frederick Allen Thurmond | Specialist | 865 Deshong Dr, Paris, TX 75460-9313 | 2005-06-22 |
| 1710982319 | Gordon Bertram Strom Jr. | Specialist | 1055 Clarksville St, Ste 195, Paris, TX 75460-6097 | 2005-06-20 |
| Find all providers in PARIS | ||||
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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.