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JONATHAN T EATON PA AT NPI 1093270548


NPI Information

NPI: 1093270548
Provider Name: JONATHAN T EATON, PA, AT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1003 BELLEFONTAINE AVE STE 125
LIMA, OH
ZIP 45804
Phone: (419) 998-8207
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Jonathan T Eaton, PA, AT is a surgical physician assistant in Lima, OH with 3 years of experience. Jonathan T Eaton, PA, AT NPI is 1093270548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2021

The provider's business location address is:

1003 BELLEFONTAINE AVE STE 125
LIMA, OH
ZIP 45804-867
Phone: (419) 998-8207
Fax: (419) 998-8216

The NPI 1093270548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2019 and was last updated on 10/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical50.007148RXOHIOYes
22255A2300XSpecialist/TechnologistAthletic TrainerNo
3363A00000XPhysician AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.