Amy H Eubanks, MD
Individual provider Active NPI Pediatrics Physician · High Point, NC
NPI 1366447807 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1366447807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 9801642 (NC)
- Practice address
- 1701 Westchester Dr
Suite 850
High Point, NC 27262-7008 - Phone
- (336) 802-2536
- Fax
- (336) 802-2534
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801642 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen E. Lucas MD, PA | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9801642 | NC | Yes |
Addresses
Primary practice location
1701 Westchester Dr
Suite 850
High Point, NC 27262-7008
Mailing address
802 Green Valley Rd
Suite 210
Greensboro, NC 27408-7041
Phone (336) 510-5510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1207825 | Other | NC | UNITED HEALTHCARE |
| 7560128 | Other | NC | AETNA |
| 87515 | Other | NC | MEDCOST |
| 132NV | Other | NC | BLUE CROSS |
| 891178U | Medicaid | NC |
Other providers in High Point, NC
- Scott David Erikson
- Myla P Erwin
- Maribel Escalante Vasquez
- Jessica Escobar Lopez
- Deepa Melanie Etikala
- Charles Francis Eurillo
- Evan B. Arthur & Chelsea H. Arthur DMD PA
- Cheri Jeannette Evans
- Katrina Evans
- Michael Wayne Evans
All providers in High Point, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.