Joshua Lee Eaton, MD
Individual provider Active NPI Family Medicine Physician · Anchorage, AK
NPI 1992016083 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1992016083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 26607 (NE)
- Practice address
- 5955 Zeamer Ave
Anchorage, AK 99506-3702 - Phone
- (907) 552-2992
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140819002326 | FL | Order and Referring Only - Family Practice |
7315127263 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 26607 | NE | |
| Family Medicine Physician | 207Q00000X | 26607 | NE | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
Anchorage, AK 99506-3702
Mailing address
5955 Zeamer Ave
Anchorage, AK 99506-3702
Other providers in Anchorage, AK
- Easter Seals of Alaska
- Eastern Aleutian Tribes
- Easterseals Alaska
- Kristine L Eastman
- Jean Milner Eaton
- Babeck Ebadpour
- Eben-Ezer Home Care, LLC
- Scott Allan Ebenhoeh
- Eberle Eyecare P.C.
- Andrea Marie Eberle
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.