Individual provider Active NPI

Eugene Norman Taub, D.O.

  • Addiction Psychiatry Physician
  • Troy, MO
National Provider Identifier
1164758975
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
30275 Issued in MO
Practice address
900 E Cherry St
Troy, MO 63379-1429
Phone
(636) 528-8585
NPI assigned
Oct 29, 2009
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 30275 MO Primary

Addresses

Primary practice location

900 E Cherry St
Troy, MO 63379-1429

Mailing address

900 E Cherry St
Troy, MO 63379-1429
Phone (636) 528-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30275MOMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychiatric Partners, PC Past Accepting new patients
Poplar Bluff Hma Physician Management, LLC Past Accepting new patients
Metroeast Neuropsychiatric Services, P.C. Past Accepting new patients
South Central Montana Regional Mental Health Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1164758975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791429",
            "telephone_number": "636-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791429",
            "telephone_number": "636-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "EUGENE",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MO",
            "license": "30275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.