Active NPI
Daniel C Eby D.O. PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Jasper, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 02001643A
- Legal business name
- DANIEL C EBY D.O. PC
- Practice address
- 600 W. 13TH St.
Suite 200
Jasper, IN 47546-1883 - Phone
- (812) 482-7441
- Fax
- (812) 482-7444
- NPI assigned
- Mar 30, 2007
- Last updated
- Jan 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel C Eby, D.O.
- Title
- President
- Phone
- (812) 482-7441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 02001643A | IN | Primary |
Addresses
Primary practice location
600 W. 13TH St.
Suite 200
Jasper, IN 47546-1883
Mailing address
600 W. 13TH St.
Suite 200
Jasper, IN 47546-1883
Phone (812) 482-7441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000332839 | Other | IN | ANTHEM BLUE CROSS |
| 200871340A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
600 W 13th St
Ste 200
Jasper, IN 47546
Phone (812) 482-7441
721 W 13th St
Ste 121
Jasper, IN 47546
Phone (812) 482-7441
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Jasper, IN
- NPI 1407859051
-
- Physical Therapist
- Jasper, IN
- NPI 1558808907
-
- Physician Assistant
- Jasper, IN
- NPI 1588661383
-
- Physical Therapist
- Jasper, IN
- NPI 1720411739
-
- Physical Therapist
- Evansville, IN
- NPI 1952778128
-
- Physical Therapist
- Jasper, IN
- NPI 1467682211
-
- Physical Therapy Assistant
- Jasper, IN
- NPI 1174840169
-
- Physical Therapy Assistant
- Jasper, IN
- NPI 1215435698
-
- Athletic Trainer
- Jasper, IN
- NPI 1295198968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1205956646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W. 13TH ST.",
"address_2": "SUITE 200",
"city": "JASPER",
"state": "IN",
"postal_code": "475461883",
"telephone_number": "812-482-7441",
"fax_number": "812-482-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W. 13TH ST.",
"address_2": "SUITE 200",
"city": "JASPER",
"state": "IN",
"postal_code": "475461883",
"telephone_number": "812-482-7441",
"fax_number": "812-482-7444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL C EBY D.O. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "EBY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-482-7441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "02001643A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000332839",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200871340A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.