DAVID B EBERLY


Address: 4700 S Washington St Ste G, Grand Forks, ND 58201-8123
Phone: 7012053000

DAVID B EBERLY (NPI# 1306819941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306819941
Entity Type Individual
Full Name DAVID B EBERLY
Credential PA-C
Practice Address 4700 S Washington St Ste G
Grand Forks
ND 58201-8123
Mailing Address Po Box 5210
Grand Forks
ND 58206-5210
Practice Telephone 7012053000
Practice Fax Number 7017322501
Mailing Telephone 7012053000
Mailing Fax Number 7017322501
Enumeration Date 2006-02-13
Last Update Date 2020-01-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 12819 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant PAC0596 ND Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA10003354 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8349425 05
ND 1465113 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
10 Ros Cir, Republic, WA 991665002 5097753153 5097758929

Other Providers DAVID EBERLY

NPI Name Taxonomy Address Enumeration
1588691497 David E Eberly Internal Medicine 605 West State Street, Media, PA 19063 2006-06-27

Office Location

Street Address 4700 S WASHINGTON ST STE G
City GRAND FORKS
State ND
Zip Code 58201-8123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073137915 Hannah Lee Abner Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8155 2020-06-06
1255961959 Mallory Kristen Martha Registered Nurse 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2020-01-22
1023663598 Devon Nicole Anderson Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2019-08-01
1255983888 Danielle Collins Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2019-07-13
1659889798 Natasha Marie Krebs Registered Nurse 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2018-01-10
1730695412 Mio Watanabe Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2017-12-18
1972012482 Mallory Driscoll Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2017-09-27
1699295774 Peterson Medical Clinics, LLC Clinic/Center 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2017-06-21
1073067823 Riki Gifford-ferguson Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2016-08-10
1720435175 Katie Marie Allen Social Worker 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2016-05-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
Find all providers in zip 58201

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1497846299 Brenda K Hanson Physician Assistant 4440 S Washington St, Grand Forks, ND 58201-7245 2006-09-27
1073521738 Ruth Ann Green Physician Assistant 4440 S Washington St. - Altru Professional Center, Grand Forks, ND 58201-7245 2006-08-04
1518923994 Nicole Anvinson Physician Assistant 2424 32nd Ave S, Ste 202, Grand Forks, ND 58201-6545 2006-04-25
1770549941 Paula Osowski Physician Assistant 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 2006-04-25
1073137915 Hannah Lee Abner Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8155 2020-06-06
1952957847 Arthur Thorsen Physician Assistant 1300 S Columbia Rd, Grand Forks, ND 58201 2019-08-15
1023663598 Devon Nicole Anderson Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2019-08-01
1255983888 Danielle Collins Physician Assistant 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 2019-07-13
1548812704 Jennifer Hayes Physician Assistant 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2019-07-09
Find all providers in GRAND FORKS

Competitor

Search similar providers

City GRAND FORKS
Zip Code 58201

Improve Information

Please comment or provide details below to improve the information on DAVID B EBERLY.

Dataset Information

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.

Trending Searches