ANDREA J EBERLE (NPI# 1588748990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588748990 |
| Entity Type | Individual |
| Full Name | ANDREA J EBERLE |
| Credential | M.D. |
| Practice Address |
1109 Burman Dr Jacksonville AR 72076-4386 |
| Mailing Address |
Po Box 15968 Little Rock AR 72231-5968 |
| Practice Telephone | 5019827575 |
| Practice Fax Number | 5019827510 |
| Mailing Telephone | 5012211843 |
| Mailing Fax Number | 5012212376 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-2034 | AR | Allopathic & Osteopathic Physicians |
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
E-2034 | AR | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
E-2034 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BCBS | 5L052 | 01 |
| AR | 135989001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376742452 | Andrea Marie Eberle | Optometrist | 10998 Omalley Centre Dr, Ste D, Anchorage, AK 99515-3069 | 2007-07-17 |
| Street Address |
1109 BURMAN DR |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225131345 | Lisa A Reed | Social Worker | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-09-06 |
| 1053934703 | Professional Counseling Associates Inc. | Clinic/Center | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2020-05-28 |
| 1255858882 | Haylee Garland | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2017-08-24 |
| 1184098469 | Angela Clark | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2015-11-24 |
| 1992187561 | Michael Dillon | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2015-06-19 |
| 1568758407 | Cassandra Lee Ingram | Psychologist | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2011-06-20 |
| 1003041278 | Shalanda Dashae Howard | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2009-05-18 |
| 1699917906 | Antoinette M Hodges | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2009-04-01 |
| 1649348715 | Gregory James Barabino | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-11-30 |
| 1740358845 | Laron Michelle Couch | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.