Individual provider Active NPI

Linda Ann Eakle, DO

  • Family Medicine Physician
  • Milton, WV
National Provider Identifier
1093730624
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV0792 Issued in WV
Practice address
1509 W Main Street
Milton, WV 25541
Phone
(304) 743-7141
Fax
(304) 743-7143
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV0792 WV Primary

Addresses

Primary practice location

1509 W Main Street
Milton, WV 25541

Mailing address

1509 W Main Street
Milton, WV 25541
Phone (304) 743-7141

Other identifiers 1

IdentifierTypeStateIssuer
0050180000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20050524000870 WV Practitioner - Family Practice 2567404155 Practice locations: Milton, WV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
WV0792WVMDFamily Medicine Physician
792WVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1093730624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W MAIN STREET",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-743-7141",
            "fax_number": "304-743-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W MAIN STREET",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-743-7141",
            "fax_number": "304-743-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKLE",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV0792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050180000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WV

Sources for this page

Verify at the official NPI Registry.