Robert W Eaton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0441 Issued in AL

Practice address

5004 Highway 69 N
Northport, AL 35473-2039

Phone

(205) 339-2499

Fax

(205) 339-6422

NPI assigned

Jul 28, 2005

Last updated

Apr 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Robert W. Eaton, PCGroup PAC ID 5991874174, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27388/brand/1/csg/1/fhir/r4

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.

• Dr. Robert W. Eaton, PC

  • Preferred Provider Organization
  • Northport, AL
  • NPI 1265477541
  Medicare reassignment Care Compare group NPD Authorized official
• New Hope Family Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1699400184
  NPD (past)
• New Hope Medical Clinic, Inc.

  • Legal Medicine
  • Columbus, MS
  • NPI 1679567556
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1073513479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HIGHWAY 69 N",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732039",
            "telephone_number": "205-339-2499",
            "fax_number": "205-339-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 HIGHWAY 69 N",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732039",
            "telephone_number": "205-339-2499",
            "fax_number": "205-339-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "D0441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51515058",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dutch Pharmacies Inc (Family Pharmacy of Northport)
• Dva Healthcare Renal Care Inc (Northport Dialysis)
• Heidi Dawn Dyer-Raley, RD
• Eagles' Wings, Inc.
• John David Eaton, MD MPH
• Kathy Benitez Echols, PH.D., LPC
• Linda Nicole Edmonds, MSOTR
• Harvey A Edwards, M.D.
• Harvey A Edwards IV, LPC
• Shelly Lynn Edwards, LCSW

• Family Medicine Physician in Northport, AL
• Providers in Northport, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.