Provider Demographics
NPI:1477556512
Name:EATON, PAULA LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:LOUISE
Last Name:EATON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 CARONDELET DR
Mailing Address - Street 2:STE 304
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4698
Mailing Address - Country:US
Mailing Address - Phone:816-222-2229
Mailing Address - Fax:816-943-1904
Practice Address - Street 1:930 CARONDELET DR
Practice Address - Street 2:STE 304
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4698
Practice Address - Country:US
Practice Address - Phone:816-222-2229
Practice Address - Fax:816-943-1904
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8598207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0744606BMedicare ID - Type Unspecified
D72760Medicare UPIN