Debra Jo Eadens (NPI# 1477544872, PAC ID# 9234326034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477544872 |
| PAC ID by PECOS | 9234326034 |
| Professional Enrollment ID | I20101206000940 |
| Full Name | Debra Jo Eadens |
| Organization Legal Name | EADENS GRIMBALL INTERNAL MEDICINE ASSOCIATES |
| Address |
402 Bogle St Somerset KY 42503-2870 |
| Phone Number | 6064519953 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8224062500 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 402 Bogle St, Somerset, KY 42503-2870 | 6064519953 | EADENS GRIMBALL INTERNAL MEDICINE ASSOCIATES |
| 402 Bogle St, Suite 3, Somerset, KY 42503-2870 | 6064519953 | EADENS GRIMBALL INTERNAL MEDICINE ASSOCIATES |
| Organization Legal Name | EADENS GRIMBALL INTERNAL MEDICINE ASSOCIATES |
| Physicians | 1 |
| Street Address |
402 BOGLE ST |
| City | SOMERSET |
| State | KY |
| Zip | 42503-2870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Renee Horn | Obstetrics/gynecology | Womens Care of Somerset Corp | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 |
| Amanda Cook Evans | Nurse Practitioner | Womens Care of Somerset Corp | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 |
| Danita J Napier | Nurse Practitioner | Womens Care of Somerset Corp | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Heidi Renae Frey | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Eric D Johnson | Diagnostic Radiology | 607 Clifty St, Somerset, KY 42503-1765 | |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOMERSET + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Debra Jo Eadens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.