Eden J Elfrink, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05286 Issued in KY

Practice address

444 S Main St
Madisonville, KY 42431-2846

Phone

(270) 821-4444

Fax

(270) 821-9188

NPI assigned

Apr 24, 2019

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 2

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

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Home Care Home health agency, Traverse City, MI, CCN 237025
• Heartland Hospice (Grand Rapids) Hospice, Grand Rapids, MI, CCN 231582
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Kalkaska Memorial Health Center Nursing home, Kalkaska, MI, CCN 235407

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Kalkaska, MI
  • NPI 1013183060
  Medicare reassignment Care Compare group NPD
• Kalkaska Memorial Health Center

  • Skilled Nursing Facility
  • Kalkaska, MI
  • NPI 1164386652
  NPD
• Kalkaska Memorial Health Center

  • Rural Health Clinic/Center
  • Kalkaska, MI
  • NPI 1306968102

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center

  • Skilled Nursing Facility
  • Kalkaska, MI
  • NPI 1164386652

  Nursing home

  Care Compare affiliation
• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
  • NPI 1114627890
  Care Compare affiliation

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1841854031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312846",
            "telephone_number": "270-821-4444",
            "fax_number": "270-821-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312168",
            "country_code": "US",
            "telephone_number": "270-399-7900",
            "fax_number": "270-399-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 W State St",
            "address_purpose": "LOCATION",
            "city": "Mancelona",
            "state": "MI",
            "postal_code": "496599651",
            "country_code": "US",
            "telephone_number": "231-587-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELFRINK",
        "first_name": "EDEN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05286",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eelfrink117746@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "444 S Main St",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424312846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eelfrink117746@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "510 Ruby Dr",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424312168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael M Ebisi, MD
• Cheryl W Edelen, ARNP
• Edge Physical Therapy PSC
• Kari Jo Edwards, PHARMD.
• Lyle Edwards, LMFT
• Elite Hearing Care, LLC
• Phillip Ellegood, CRNA
• Allen S. Elliott, MD
• Sheila Elliott, HIS/ACA
• Jodie R. Ellsworth, LPCC

• Family Medicine Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.

Verify at the official NPI Registry.