Organization Active NPI

Eaker Family Medicine PA

  • Family Medicine Physician
  • Sweetwater, TX
National Provider Identifier
1982773065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7363 Issued in TX
Legal business name
EAKER FAMILY MEDICINE PA
Practice address
301 Jenny George LN
Sweetwater, TX 79556-7152
Phone
(325) 235-0770
Fax
(325) 235-0771
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert G Eaker, M.D.
Title
Physician
Phone
(325) 235-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L7363 TX Primary

Addresses

Primary practice location

301 Jenny George LN
Sweetwater, TX 79556-7152

Mailing address

301 Jenny George LN
Sweetwater, TX 79556-7152
Phone (325) 235-0770

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1041812Eaker Family Medicine301 Jenny George LN, Sweetwater, TX 79556Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

301 Jenny George Ln
Ste 3
Sweetwater, TX 79556
Phone (325) 235-0770

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982773065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-0770",
            "fax_number": "325-235-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-0770",
            "fax_number": "325-235-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAKER FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "325-235-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.