Active NPI
Dr. Robert W. Eaton, PC
- Preferred Provider Organization
- Northport, AL
National Provider Identifier
1265477541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- DR. ROBERT W. EATON, PC
- Practice address
- 5004 Highway 69 N
Northport, AL 35473-2039 - Phone
- (205) 339-2499
- Fax
- (205) 339-6422
- NPI assigned
- Jun 19, 2006
- Last updated
- Dec 15, 2009
- 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. Robert W Eaton, DO
- Title
- Physician
- Phone
- (205) 339-2499
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 |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | NU | Primary |
Addresses
Primary practice location
5004 Highway 69 N
Northport, AL 35473-2039
Mailing address
5004 Highway 69 N
Northport, AL 35473-2039
Phone (205) 339-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51515058 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5004 Highway 69 N
Northport, AL 35473
Phone (205) 331-4690
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Northport, AL
- NPI 1073513479
-
- Family Medicine Physician
- Northport, AL
- NPI 1265583827
-
- Family Nurse Practitioner
- Winfiled, AL
- NPI 1669541843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260835200000",
"number": "1265477541",
"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": {
"organization_name": "DR. ROBERT W. EATON, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2009-12-15",
"status": "A",
"authorized_official_last_name": "EATON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "205-339-2499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51515058",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
- Joshua Dolphin
- Anna Dorsey
- Kelly T Douglass, D.C.
- Doxa Care LLC
- Emily Dean Dozier-Ezell, MS, CCC-SLP
- Drayer Physical Therapy Alabama LLC
- Druid City Infusion (Druid City Vital Care)
- Druid City Infusion (Druid City Vital Care)
- Druid City Infusion (Druid City Vital Care)
- Druid City Infusion Clinics LLC (Druid City Infusion - AIC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.