NPIMap

Organization Active NPI

Eden Medical Clinic PA

  • Primary Care Clinic/Center
  • Eden, TX
National Provider Identifier
1285762955
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J3791 Issued in TX
Legal business name
EDEN MEDICAL CLINIC PA
Practice address
506 Eaker
Eden, TX 76837-0967
Phone
(325) 869-6171
Fax
(325) 869-8118
NPI assigned
Mar 2, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Joseph L Feldhaus, D.O.NPI 1033103726
Title
Ceo
Phone
(325) 869-6171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X J3791 TX Primary

Addresses

Primary practice location

506 Eaker
Eden, TX 76837-0967

Mailing address

PO Box 967
Eden, TX 76837-0967
Phone (325) 869-6171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1285762955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370967",
            "telephone_number": "325-869-6171",
            "fax_number": "325-869-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 EAKER",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370967",
            "telephone_number": "325-869-6171",
            "fax_number": "325-869-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "FELDHAUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-869-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.