DR. JASON EDWARD EBERHART-PHILLIPS (NPI# 1811039415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811039415 |
| Entity Type | Individual |
| Full Name | DR. JASON EDWARD EBERHART-PHILLIPS |
| Credential | MD |
| Practice Address |
931 Spring St Placerville CA 95667-4543 |
| Mailing Address |
Po Box 2166 Placerville CA 95667-2166 |
| Practice Telephone | 5306216277 |
| Mailing Telephone | 5306216277 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
G66655 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G666550 | 05 |
| Street Address |
931 SPRING ST |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639215767 | El Dorado County Public Health Laboratory | Clinical Medical Laboratory | 931 Spring St, Placerville, CA 95667-4543 | 2007-01-29 |
| 1679750830 | Alicia Paris-pombo | Family Medicine | 931 Spring St, Placerville, CA 95667-4543 | 2008-01-29 |
| 1427272459 | County of El Dorado | Clinic/Center | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-12 |
| 1548381874 | Nina Varner Deatherage | Clinical Nurse Specialist | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-03 |
| 1366584310 | Catherine A Dunbar | Licensed Vocational Nurse | 931 Spring St, Placerville, CA 95667-4543 | 2007-02-13 |
| 1306987490 | Elizabeth Jane Zorn | Nurse's Aide | 931 Spring St, Placerville, CA 95667-4543 | 2007-02-09 |
| 1306987482 | Irene Lee Lancaster | Licensed Vocational Nurse | 931 Spring St, Placerville, CA 95667-4543 | 2007-02-09 |
| 1568503647 | Iveeth Gabriela Bannister | Nurse's Aide | 931 Spring St, Placerville, CA 95667-4543 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902178361 | Curtiss Eugene Weidmer | Preventive Medicine | 4841 Grannan Way, Placerville, CA 95667-7814 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592126 | Best Healthcare Access | Preventive Medicine | 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 | 2020-09-11 |
| 1134739642 | Wellcentrex LLC | Preventive Medicine | 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 | 2020-08-10 |
| 1548870926 | Sofia Lucha Robles Castillo | Preventive Medicine | 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 | 2020-07-31 |
| 1972124485 | Douglas L Hatch | Preventive Medicine | 680 Talbot Ave, Pacifica, CA 94044-2650 | 2020-05-06 |
| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
| 1861024515 | Another Way 2 LLC | Preventive Medicine | 3840 Lemon St, Riverside, CA 92501-3693 | 2020-02-11 |
| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.