Active NPI
Eliza Hueda, M.D.
- Pediatrics Physician
- Mebane, NC
National Provider Identifier
1629199385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010-01858
- Practice address
- 3940 Arrowhead Blvd
Building a Suite 210
Mebane, NC 27302-7636 - Phone
- (919) 904-4418
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME119940 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 2010-01858 | NC | Primary |
Addresses
Primary practice location
3940 Arrowhead Blvd
Building a Suite 210
Mebane, NC 27302-7636
Mailing address
3940 Arrowhead Blvd
Suite 210
Mebane, NC 27302-7637
Phone (919) 304-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17136 | Other | FL | BLUE CROSS |
| 279005000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME119940 | FL | MD | Pediatrics Physician |
| 2010-01858 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier Health Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Immokalee, FL
- NPI 1609827211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1629199385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 ARROWHEAD BLVD",
"address_2": "SUITE 210",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027637",
"telephone_number": "919-304-5900",
"fax_number": "919-304-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 ARROWHEAD BLVD",
"address_2": "BUILDING A SUITE 210",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027636",
"telephone_number": "919-904-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEDA",
"first_name": "ELIZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME119940",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2010-01858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "17136",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279005000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
- Katherine Brooke Iglhaut Horowitz, PHARMD
- House of Hope III Inc
- House of Love of Alamance, Co.
- Scott Thomas Howell, MD
- David Emory Hoyle, DDS
- Claude L Hughes Jr., MD
- Humphrey Family Care Home
- I.C.a.R.E. Counseling Services, PLLC
- In Home Physical Therapy and Wellness of Mebane LLC
- Integrative Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.