Active NPI
Clinton Scott Eanes, NRP
- Emergency Medical Services (Emergency Medicine) Physician
- Glenwood, IA
National Provider Identifier
1982539870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- PARA4002029
- Practice address
- 28135 Hershey Ave
Glenwood, IA 51534-7037 - Phone
- (904) 465-0814
- NPI assigned
- Jun 15, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | PARA4002029 | IA | Primary |
Addresses
Primary practice location
28135 Hershey Ave
Glenwood, IA 51534-7037
Mailing address
28135 Hershey Ave
Glenwood, IA 51534-7037
Phone (904) 465-0814
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1982539870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28135 HERSHEY AVE",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515347037",
"telephone_number": "904-465-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28135 HERSHEY AVE",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515347037",
"telephone_number": "904-465-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EANES",
"first_name": "CLINTON",
"middle_name": "SCOTT",
"credential": "NRP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IA",
"license": "PARA4002029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood, IA
- Amanda Jean Dahl, MOT, OTR/L
- Department of Human Services Glenwood Resource Center
- Department of Human Services Glenwood Resource Center
- Department of Human Services Glenwood Resource Center
- Kimberly Kay Durbin, LMHC
- Elwood M Young OD PC
- Embrace Iowa Inc
- Embrace LLC
- Amy Renee Faust, L.M.H.C.
- Lisa Maria Fiala
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.