John L Eten, MD
Individual provider Active NPI Family Medicine Physician · Orleans, MA
NPI 1649239757 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1649239757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 51173 (MA)
- Practice address
- 204 Main St
Orleans Medical Center, P.C.
Orleans, MA 02653-3428 - Phone
- (508) 255-8825
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51173 | MA | Yes |
Addresses
Primary practice location
204 Main St
Orleans Medical Center, P.C.
Orleans, MA 02653-3428
Mailing address
204 Main St
Orleans Medical Center, P.C.
Orleans, MA 02653-3428
Phone (508) 255-8825
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-00821 | Other | UNITED HEALTHCARE | |
| 6185932 | Medicaid | MA | |
| 723878 | Other | TUFTS HEALTHCARE | |
| B10436901 | Other | CIGNA HEALTHCARE | |
| 000000031977 | Other | BOSTON MEDICAL HEALTHNET | |
| 28599 | Other | MA | CHILDREN'S MEDICAL SECURI |
| 7725 | Other | HARVARDPILGRIM HEALTHCARE | |
| 080130572 | Other | RAIL ROAD MEDICARE | |
| J03410 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Orleans, MA
- William Emerson Dworet
- Stephanie Gene Dymek
- Nancy Underhill Eaton
- Deborah L Ennis
- Deborah Eskie
- Ellen Faherty
- June Katherine Farrell
- Sara Feith
- Teresa Fenichel
- Carol S. Field
All providers in Orleans, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. 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.