CARL DAVID EASTEP (NPI# 1477109718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477109718 |
| Entity Type | Individual |
| Full Name | CARL DAVID EASTEP |
| Credential | PA-C |
| Practice Address |
1901 E 32nd St Ste 4 Joplin MO 64804-3071 |
| Mailing Address |
1912 E Latana Dr Ozark MO 65721-8274 |
| Practice Telephone | 4177810250 |
| Practice Fax Number | 4177812581 |
| Mailing Telephone | 8705774991 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2019026919 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1912 E Latana Dr, Ozark, MO 657218274 | 8705774991 | |
| 1540 E Evergreen St, Springfield, MO 658034300 | 4178232900 | 4178862774 |
| Street Address |
1901 E 32ND ST STE 4 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831126788 | James K Adams | Physician Assistant | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2006-06-27 |
| 1285114678 | Michelle Heger | Nurse Practitioner | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2018-08-15 |
| 1982126363 | Aaron M Garcia | Nurse Practitioner | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2017-07-07 |
| 1487981445 | Bryan D. Barnes, Inc. | Family Medicine | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2009-11-12 |
| 1720015613 | Bryan D Barnes | Family Medicine | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255695391 | Robert Michael Denton | Physician Assistant | 1102 W. 32nd St, Freeman Health System, Joplin, MO 64804-3599 | 2012-07-03 |
| 1831126788 | James K Adams | Physician Assistant | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2006-06-27 |
| 1649801952 | Joseph Ray Pence | Physician Assistant | 1111 Mcintosh Cir, Joplin, MO 64804-3615 | 2020-01-27 |
| 1124686886 | Ashley Nichole Trebbe | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2019-05-29 |
| 1508369471 | Maddison Marann Jewsbury | Physician Assistant | 100 Mercy Way, Joplin, MO 64804-4524 | 2018-03-16 |
| 1639678089 | Jesse David Thompson | Physician Assistant | 100 Mercy Way, Joplin, MO 64804-4524 | 2018-02-12 |
| 1255870200 | Kimberly Thomason | Physician Assistant | 1102 W 32nd St, Joplin, MO 64804-3503 | 2017-02-22 |
| 1295193142 | Paige Taylor | Physician Assistant | 1020 Mcintosh Cir, Ste 1, Joplin, MO 64804-3642 | 2016-02-08 |
| 1164803581 | Desiree Stuart | Physician Assistant | 2216 E 32nd St, Suite #101, Joplin, MO 64804-3016 | 2015-06-11 |
| 1750770582 | Meredith Joann Jenkins | Physician Assistant | 3302 Mcintosh Cir Ste 1, Joplin, MO 64804-3648 | 2015-01-16 |
| Find all providers in JOPLIN | ||||
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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.