MATTHEW EASHOO (NPI# 1679092134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679092134 |
| Entity Type | Individual |
| Full Name | MATTHEW EASHOO |
| Practice Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Mailing Address |
3100 W End Ave Ste 800 Nashville TN 37203-1378 |
| Practice Telephone | 7724614000 |
| Practice Fax Number | 8884686511 |
| Mailing Telephone | 6153455400 |
| Mailing Fax Number | 8884686511 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358590 | Daniel Adam Picard | Internal Medicine | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2005-07-05 |
| 1245846013 | Nerlie Pierre | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-09-17 |
| 1548871148 | Jenna Barnes | Physical Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-17 |
| 1033729975 | Lawnwood Anesthesia Providers LLC | Anesthesiology | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-05 |
| 1851914832 | Gregory Germain | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-25 |
| 1912520388 | Cassie Rebekah Paulus | Occupational Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-20 |
| 1871130427 | Lindsay Bowers | Physician Assistant | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-12-03 |
| 1871143578 | Garry Desulme | Nurse Practitioner | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-09-14 |
| 1194290601 | Megan Lane | Pharmacist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2018-10-11 |
| 1669947164 | Julouse Etienne | Registered Nurse | 1700 S 23rd St, Fort Pierce, FL 34950-4899 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274955 | Laurie Dijoy | Perfusionist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2017-09-15 |
| 1023537586 | James Mallory Jr. | Perfusionist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883026 | Lice Clinics of America Dade County | Perfusionist | 175 Fontainebleau Blvd Ste 1h, Miami, FL 33172-7012 | 2019-04-17 |
| 1942778527 | Patrick Thomas Davis | Perfusionist | 307 Burnt Pine Dr, Naples, FL 34119-9775 | 2018-11-13 |
| 1205376415 | Lice Away Today LLC | Perfusionist | 4308 W El Prado Blvd, Tampa, FL 33629-8405 | 2017-03-07 |
| 1124493226 | Franco Mora | Perfusionist | 1753 Sw 13th St, Unit # 4, Coral Gables, FL 33145-1477 | 2015-12-01 |
| 1215300454 | Ranie-ann Dominique Brown | Perfusionist | 3221 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 | 2015-11-10 |
| 1386021939 | John M Ingram Jr. | Perfusionist | 9632 Nw 7th Cir, Apt 1718, Plantation, FL 33324-7533 | 2015-05-04 |
| 1568878148 | Kenneth Mattson | Perfusionist | 1764 Scarlett Ave, North Port, FL 34289-9476 | 2014-07-03 |
| 1477967941 | Tunisia Ellis Penta | Perfusionist | 5801 Mango Cir, Naples, FL 34110-3403 | 2014-06-12 |
| 1720491012 | Shawn Phillips | Perfusionist | 17080 Safety St, Suite 109, Fort Myers, FL 33908-7506 | 2014-06-04 |
| 1669607131 | Hamandi Corporation | Perfusionist | 8813 Pinto Drive, Lake Worth, FL 33467 | 2009-05-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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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.