Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | MA68321 | NJ |
N | 2086S0127X | Trauma Surgeon | MA68321 | NJ |
Y | 2086S0127X | Trauma Surgeon | MD057717L | PA |
NPI | 1205937331 |
---|---|
Provider Name | Dr. James S. Eakins |
First Address | Philadelphia, PA 19102 |
Second Address | Philadelphia, PA 19102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 14/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019168910001 | PA MEDICAID (01) | PA |
010003763 00 | AMERICHOICE (01) | NJ |
0135917 | CIGNA (01) | NJ |
1095824 & 60017506 | HORIZON NJ HEALTH (01) | NJ |
1308438 | AMERIHEALTH/PPO/IBC (01) | NJ |
2001739000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
2023823 | UNITED HEALTHCARE (01) | NJ |
28557 | UNIVERSITY HEALTH PLAN (01) | NJ |
3161476 | AETNA (01) | NJ |
3K6042 | HEALTHNET (01) | NJ |
3K7582 | HEALTHNET (01) | NJ |
7992807 | (05) | NJ |
G93075 | (02) | |
P1941072 | OXFORD (01) | NJ |