Eadens-Grimball Internal Medicine Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES

Practice address

402 Bogle St
Ste 3
Somerset, KY 42503-2870

Phone

(606) 451-9953

Fax

(606) 451-1533

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Debra Jo Eadens, M.D.

Title

Physician/Office Manager

Phone

(606) 451-9953

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1366539223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-451-9953",
            "fax_number": "606-451-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-451-9953",
            "fax_number": "606-451-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "EADENS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICIAN/OFFICE MANAGER",
        "authorized_official_telephone_number": "606-451-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100049580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Katherine Durham, DO
• Jacob D Durham, LPCA
• Melissa Dye
• Misty M Dye
• Shelly Dyer
• Debra J Eadens, MD
• David M Eads, O.D.
• Jackie Eads, LPCA
• Pamela Trabish Eads, LCSW, BCD, ACSW
• Meghan Ealy

• Internal Medicine Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.