Active NPI
Eula Geralyn Plana Tetangco, M.D.
- Gastroenterology Physician
- Henderson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 54318
- Practice address
- 1305 N Elm St Ste G
Henderson, KY 42420-2783 - Phone
- (812) 426-9545
- Fax
- (812) 858-4512
- NPI assigned
- Jun 24, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036.152601 | IL | |
| Gastroenterology Physician | 207RG0100X | 01084758A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 077952 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125065611 | IL | |
| Gastroenterology Physician | 207RG0100X | 54318 | KY | Primary |
Addresses
Primary practice location
1305 N Elm St Ste G
Henderson, KY 42420-2783
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815
Other practice location 1
420 E Superior St
Chicago, IL 60611-4494
Phone (312) 926-7430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
1305 N Elm St
Suite G
Henderson, KY 42420-2783
Phone (812) 426-9545
4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 858-9400
Hospital & facility affiliations
- Deaconess Henderson Hospital
- Deaconess Hospital Inc
- Methodist Hospital Union County
- Gibson General Hospital
- Baptist Health Deaconess Madisonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.152601 | IL | MD | Gastroenterology Physician |
| 54318 | KY | MD | Gastroenterology Physician |
| 077952 | GA | MD | Student in an Organized Health Care Education/Training Program |
| 125065611 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Gastroenterology | Current | Accepting new patients |
| Deaconess Clinic Inc | Gastroenterology | Current | Accepting new patients |
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Gastroenterology | Current | Accepting new patients |
| Deaconess Clinic, Inc | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
1305 N Elm St
Ste G
Henderson, KY 42420
Phone (270) 826-0002
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
Interoperability endpoints
- etetangco226736@direct.deaconess.com
Organizations & group practices 6
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.
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
-
dba Deaconess Clinic - Henderson MOB
- Gastroenterology Physician
- Henderson, KY
- NPI 1972165421
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
dba Deaconess Clinic I
- Family Medicine Physician
- Newburgh, IN
- NPI 1306092689
Gastroenterology
-
dba Deaconess Clinic I
- Rural Health Clinic/Center
- Petersburg, IN
- NPI 1831345792
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- Critical Access Hospital
- Morganfield, KY
- NPI 1497320519
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1639584014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-450-6815",
"fax_number": "812-450-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N ELM ST STE G",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202783",
"telephone_number": "812-426-9545",
"fax_number": "812-858-4512"
}
],
"practiceLocations": [
{
"address_1": "420 E Superior St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114494",
"country_code": "US",
"telephone_number": "312-926-7430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TETANGCO",
"first_name": "EULA GERALYN",
"middle_name": "PLANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036.152601",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01084758A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "077952",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125065611",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "54318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.