Debra J Eadens, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29813 Issued in KY

Practice address

402 Bogle St
Ste 3
Somerset, KY 42503-2870

Phone

(606) 451-9953

Fax

(606) 451-1533

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1477544872",
    "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": {
        "last_name": "EADENS",
        "first_name": "DEBRA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "29813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-00404",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1183452",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "611350780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074702",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "37J8",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64298136",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110198804",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN/AETNA",
            "identifier": "5520074",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob D Durham, LPCA
• Melissa Dye
• Misty M Dye
• Shelly Dyer
• Eadens-Grimball Internal Medicine Associates
• David M Eads, O.D.
• Jackie Eads, LPCA
• Pamela Trabish Eads, LCSW, BCD, ACSW
• Meghan Ealy
• Eastern Pulaski Rural Health Clinic,PLLC

• 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 Jun 12, 2014; 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.