Individual
GREGORY MARK EBERHART
Active
Individual
GREGORY MARK EBERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35074110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244980
ANTHEM
—
01
—
0069964001
CIGNA
—
01
—
10790951
CAQH
—
01
—
1201765
UHC
—
01
—
2032058
AETNA
—
05
—
2059856
—
OH
05
—
2368834
—
OH
01
—
36D1007721
CLIA
—
01
—
522374873
TAX ID
—
01
—
522374873029
CARESOURCE
—
01
—
C09331561
MEDICARE GROUP PIN
—
01
—
D7411004
HUMANA
—
01
—
G23791
NATIONAL PROVIDER ID
—
Enumeration date
01/09/2006
Last updated
03/05/2026
Update your record
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