Individual provider · Type 1 NPI

Ebony Eddy, PA-C

Physician Assistant · West River, MD

NPI number 1144097973 Active

Practice location

134 Owensville Rd
West River, MD 20778-9702

Other practice locations

  • 5408 Southern Maryland Blvd, Lothian, MD 20711-2601 · (410) 867-4700
  • 6131 Shady Side Rd, Shady Side, MD 20764-9504 · (410) 867-4700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0009500 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

14 other providers at this address

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About NPI 1144097973

Ebony Eddy, PA-C's National Provider Identifier is 1144097973, issued on Dec 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West River, MD. The record was last updated on Aug 6, 2026.