Elizabeth Jean Eden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301087321 Issued in MI

Practice address

2755 Carpenter Rd
Suite 1S
Ann Arbor, MI 48108-1186

Phone

(248) 824-6622

Fax

(248) 324-1477

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iah of Michigan, PLLC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1578969705
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Vpa PC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Troy, MI
  • NPI 1871666784
  NPD
• Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Williamsburg, VA
  • NPI 1730507138
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1841278645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD",
            "address_2": "SUITE 1S",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081186",
            "telephone_number": "248-824-6622",
            "fax_number": "248-324-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecological Internal Medicine, PLLC
• Ecstatic Home Care
• Mary Eddy, M.D.
• Anthony Edelman, MD
• Karl Julius Edelmann, MD
• Violet Alice Eden, M.A., L.P.C.
• Robert Gerard Eder, LMSW
• Emily Truax Edgcombe, CRNA
• Robin Dawn Edison, MED, LPC, NCC, CAADC
• Louito Catherina Edje, MD

• Family Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.