John C Eudy III, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60014571 Issued in WA

Practice address

2901 Squalicum Pkwy
Bellingham, WA 98225-1851

Phone

(360) 754-5400

NPI assigned

Jan 30, 2006

Last updated

Jun 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeudy19545@direct.fcn.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1427001015
  Medicare reassignment Care Compare group NPD (past)
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919
  Medicare reassignment
• Family Care Network PLLC

  dba FCN Clinical Home Team

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1467006205
  NPD
• Family Care Network PLLC

  dba Sunset and James

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1558952150
  NPD
• Emergency Medicine Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fairbanks, AK
  • NPI 1275529109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1033180872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 CARLISLE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085016",
            "telephone_number": "336-420-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-754-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDY",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60014571",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ettlin, MS, LMHC
• Etue Chiropractic, PLLC
• Thomas Etue, DC
• Craig Allen Eubank, CRAIG EUBANK
• Kelly Eubank
• Emmanuel J. Eusebio, MD
• Claire Evans, MSW, LICSW, BCD
• Ethan Spencer Evans
• Kelly L Evans, M.D.
• Richard J Evans V, MA

• Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.