DR. MARTIN PHAN EASON (NPI# 1356699433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356699433 |
Entity Type | Individual |
Full Name | DR. MARTIN PHAN EASON |
Credential | MD |
Practice Address |
3114 Browns Mill Rd Johnson City TN 37604-1417 |
Practice Telephone | 4236310432 |
Mailing Telephone | 4236310432 |
Enumeration Date | 2012-08-21 |
Last Update Date | 2012-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
0101244335 | VA | Allopathic & Osteopathic Physicians |
Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
MD0000040649 | TN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245217629 | Martin Durelle Eason | Anesthesiology | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2005-12-28 |
Street Address |
3114 BROWNS MILL RD |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-1417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275538589 | Dale E. Whitson | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2005-06-15 |
1154971810 | Melissa Shiloh Taylor | Social Worker | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2019-09-16 |
1629450457 | Michael Todd Wilkerson | Nurse Practitioner | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2015-06-29 |
1487992939 | Vista Recovery Systems, Inc | Community/Behavioral Health | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2013-01-17 |
1336483262 | Watauga Recovery Center | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604 | 2012-11-15 |
1689964322 | Highland Springs Medical PC | Chiropractor | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2011-04-14 |
1689905069 | Priscillia L Lynch | Registered Nurse | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2010-01-25 |
1801998810 | Ralph Thomas Reach | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2006-09-01 |
1801862313 | Matthew Shawn Thomas | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2006-02-24 |
1508861774 | Richard K Mcdavid | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2005-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 207LA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Addiction Medicine |
An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548212137 | Timothy Scott Smyth | Anesthesiology | 926 W Oakland Ave Ste 222, Johnson City, TN 37604-1445 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184047516 | Exodus Recovery Center, Pllc. | Anesthesiology | 4200 Martin Mill Pike, Knoxville, TN 37920-3033 | 2014-01-21 |
1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
1003355652 | Pathway Healthcare Tennessee LLC | Anesthesiology | 37 Sandstone Cir, Suite 92, Jackson, TN 38305-2089 | 2017-02-15 |
1093935512 | Michael Douglas Hellman Sr. | Anesthesiology | 336 Poplar View Pkwy, Suite 2, Collierville, TN 38017-3436 | 2007-04-26 |
City | JOHNSON CITY |
Zip Code | 37604 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.