Thomas L Eaton, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

40449-020 Issued in WI

Practice address

11725 N Port Washington Rd
Ste 250
Mequon, WI 53092-3485

Phone

(262) 240-9640

Fax

(262) 240-9657

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mequon Vascular Associates, S.C.

  dba Mequon Vein & Laser Center

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1619485976
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265574719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 N PORT WASHINGTON RD",
            "address_2": "STE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923485",
            "telephone_number": "262-240-9640",
            "fax_number": "262-240-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 N PORT WASHINGTON RD",
            "address_2": "STE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923485",
            "telephone_number": "262-240-9640",
            "fax_number": "262-240-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "40449-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dysphagia Testing, LLC
• Ease Chiropractic LLC
• East Mequon Surgery Center LLC
• East Town Professional Associates, S.C.
• East Towne Dental Associated Belgium Family Dental SC
• Halie Ecker, MS, LPC, SAC, PMH-C
• Isabella Eckert
• Julie L Educate, LPC
• Educates
• Kara S Eggold

• Surgery Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.