Active NPI
Eddie P Kemper, MD
- Obstetrics & Gynecology Physician
- Tell City, IN
National Provider Identifier
1932170602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01074786A
- Practice address
- 109 US Highway 66 E
Tell City, IN 47586-2799 - Phone
- (812) 547-3447
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53369 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD60632888 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | K4100 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 01074786A | IN | Primary |
Addresses
Primary practice location
109 US Highway 66 E
Tell City, IN 47586-2799
Mailing address
8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011
Other practice location 1
651 Wake Ave
El Centro, CA 92243-9490
Phone (760) 344-9951
Other practice location 2
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046CF | Other | TX | BC/BS |
| P00075809 | Other | TX | MCR/RR |
| 030589801 | Other | TX | SUPERIOR HEALTH CHIP |
| 8GJ911 | Other | TX | BCBSTX |
| 030589801 | Medicaid | TX | |
| 742857480 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074786A | IN | MD | Obstetrics & Gynecology Physician |
| MD60632888 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Wellness Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Metroplex Clinic Physicians, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- ekemper@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
Obstetrics & Gynecology
-
- Urology Physician
- Killeen, TX
- NPI 1891730396
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1932170602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 STATE ROAD 237",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475868567",
"telephone_number": "812-547-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862799",
"telephone_number": "812-547-3447"
}
],
"practiceLocations": [
{
"address_1": "651 Wake Ave",
"address_purpose": "LOCATION",
"city": "El Centro",
"state": "CA",
"postal_code": "922439490",
"country_code": "US",
"telephone_number": "760-344-9951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1107 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015602",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEMPER",
"first_name": "EDDIE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "53369",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60632888",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K4100",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01074786A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0046CF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR/RR",
"identifier": "P00075809",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH CHIP",
"identifier": "030589801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8GJ911",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030589801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "742857480",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.