EUREKA MEDICAL LLC (NPI# 1194820860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194820860 |
| Entity Type | Organization |
| Organization Name | EUREKA MEDICAL LLC |
| Practice Address |
97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 |
| Practice Telephone | 6369386060 |
| Practice Fax Number | 6365879712 |
| Mailing Telephone | 6369386060 |
| Mailing Fax Number | 6365879712 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | DR. DAVID LAWRENCE PITTENGER (CONTROLING OWNER) |
| Authorized Official Telephone | 6369386060 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2002004657 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | D030648 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 501125900 | 05 |
| Street Address |
97 HILL TOP VILLAGE CENTER SUITE E & F |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629173398 | David Lawrence Pittenger | Family Medicine | 97 Hill Top Village Center, Suite E & F, Eureka, MO 63025-1184 | 2006-09-14 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257281 | Primary Care of Cedar Hill LLC | Family Medicine | 103 Hilltop Village Center Dr, Eureka, MO 63025-1108 | 2018-03-07 |
| 1124407341 | Basham Clinic, P.a. | Family Medicine | 100 E 16th St, Eureka, KS 67045-1067 | 2015-05-20 |
| 1669780433 | Jason Wayne Defluiter | Family Medicine | 1343 Highway 93 North, Eureka, MT 59917-9503 | 2010-09-15 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| 1285780916 | Douglas Wilson Wimer | Family Medicine | 2504 Harrison Ave Ste A, Eureka, CA 95501-3221 | 2007-01-26 |
| 1083775373 | Scott Louis Sattler | Family Medicine | 2466 Russell St, Eureka, CA 95503-5648 | 2006-12-12 |
| 1477647287 | Laurence Eugene Badgley | Family Medicine | 2504 Harrison Avenue, Suite B, Eureka, CA 95501 | 2006-10-03 |
| 1629173398 | David Lawrence Pittenger | Family Medicine | 97 Hill Top Village Center, Suite E & F, Eureka, MO 63025-1184 | 2006-09-14 |
| 1881601615 | Gregory S Holst | Family Medicine | 2675 Harris Street, Eureka, CA 95503 | 2006-08-02 |
| 1477589323 | Willard Merrell Hunter | Family Medicine | 2412 Buhne St, Eureka, CA 95501-3207 | 2006-06-23 |
| 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.