MICHAEL D EASTERLING (NPI# 1720154768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720154768 |
Entity Type | Individual |
Full Name | MICHAEL D EASTERLING |
Practice Address |
1510 Forest Ave Montgomery AL 36106-1517 |
Practice Telephone | 3348346040 |
Practice Fax Number | 3342645129 |
Mailing Telephone | 3348346040 |
Mailing Fax Number | 3342645129 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.12 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1510 FOREST AVE |
City | MONTGOMERY |
State | AL |
Zip Code | 36106-1517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376535401 | Montgomery Neurosurgical Associates | Specialist | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2005-08-16 |
1770054389 | Heather Layne Culligan | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2018-12-07 |
1346751245 | Jenna King | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2017-10-18 |
1275736365 | Thomas Randolph Whisenhunt | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2007-06-07 |
1114136033 | Innerfit of Forest Avenue, LLC | Clinic/Center | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2007-05-21 |
1649346784 | Patrick G Ryan | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
1316013451 | Thomas W Rigsby | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
1588753297 | High Tech Imaging Center Inc | Radiologic Technologist | 1510 Forest Ave, Suite B, Montgomery, AL 36106-1517 | 2006-10-12 |
1790734242 | Joshua Andrew Miller | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
Find all providers in zip 36106 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043637572 | Alejandra Elizabeth Ceron | Physician Assistant | 24740 Shady Oaks Blvd, Montgomery, TX 77316-3892 | 2014-03-21 |
1821295544 | Edith C Agee | Physician Assistant | 2101 Chestnut St, Montgomery, AL 36106-1112 | 2007-06-27 |
1023194073 | Norman Edward Hobbs | Physician Assistant | 2055 E South Blvd Ste 301, Montgomery, AL 36116-2003 | 2006-10-31 |
1134587876 | Promed Surgical Assistants | Physician Assistant | 58 Cloverdale Ct, Montgomery, TX 77356-8251 | 2016-02-09 |
1770727497 | Lauren Lane Bannon | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2009-04-24 |
1144379348 | Melanie A Hurston | Physician Assistant | 257 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-01-09 |
1477633279 | Kendall F Roper | Physician Assistant | 2055 E South Blvd, Suite 601, Montgomery, AL 36116-2001 | 2006-10-16 |
1184726580 | Amy D Rapp | Physician Assistant | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-09-05 |
1124065222 | Darron E Forrest | Physician Assistant | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-05-31 |
1386604403 | Michael T Mount | Physician Assistant | 2119 E South Blvd, #200, Montgomery, AL 36116-2495 | 2006-03-24 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36106 |
Please comment or provide details below to improve the information on MICHAEL D EASTERLING.
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.