Eureka Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EUREKA INTERNAL MEDICINE

Practice address

2280 Harrison Ave
Suite B
Eureka, CA 95501-3200

Phone

(707) 449-9371

Fax

(707) 443-2620

NPI assigned

Sep 14, 2006

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Cowgill

Title

It Administrator

Phone

(707) 443-6539

Specialties & licenses 5

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Sebastian Mathew, MD

  • Nephrology Physician
  • Eureka, CA
  • NPI 1417053075
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1093810814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 HARRISON AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013200",
            "telephone_number": "707-449-9371",
            "fax_number": "707-443-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HARRISON AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013200",
            "telephone_number": "707-449-9371",
            "fax_number": "707-443-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "IT ADMINISTRATOR",
        "authorized_official_telephone_number": "707-443-6539",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48777Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Caleb Eudy
• Eureka Allergy and Asthma Care Specialists
• Eureka City Schools a Unified District
• Eureka Family Practice
• Eureka Healthcare and Rehabilitation Center, LLC
• Eureka OBGYN
• Eureka Pediatrics Medical Practice
• Eureka Pharmacy LLC (Cloneys Long Term Care Pharmacy)
• Eureka Pharmacy LLC (Red Cross Pharmacy)
• Eureka Physical Therapy

• Internal Medicine Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.