Eileen Klein Eudy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100627 Issued in NC

Practice address

201 Tabernacle Rd
Black Mountain, NC 28711-2526

Phone

(828) 669-3465

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689793838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VEHORN RD",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287309115",
            "telephone_number": "828-628-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TABERNACLE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112526",
            "telephone_number": "828-669-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDY",
        "first_name": "EILEEN",
        "middle_name": "KLEIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Edey, PHARMD
• Sarah Lynn Eisenhauer, MA
• Vernetta Lee Eleazer, MS, LCAS, CSI
• Edna Doreen English, LCMHC
• Madison Elizabeth Ericksen, LCMHC
• Steven Thomas Evans, PHARMD
• Ashley L. Everett, DPT
• Timothy Everett, PT, DPT
• Allison Falk, PHARMD
• Family Care Home PA

• Medical Physician Assistant in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.