ROBERT K. EASTLACK MD INC (NPI# 1821227463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821227463 |
Entity Type | Organization |
Organization Name | ROBERT K. EASTLACK MD INC |
Practice Address |
5265 Amber View Pt San Diego CA 92130-6933 |
Practice Telephone | 8583611390 |
Practice Fax Number | 8589257227 |
Mailing Telephone | 8583611390 |
Mailing Fax Number | 8589257227 |
Enumeration Date | 2009-07-03 |
Last Update Date | 2009-07-03 |
Authorized Official Name | DR. ROBERT KENNETH EASTLACK (PRESIDENT/CEO) |
Authorized Official Telephone | 8583611390 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | A73162 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 093411900 | 05 |
Street Address |
5265 AMBER VIEW PT |
City | SAN DIEGO |
State | CA |
Zip Code | 92130-6933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
Find all providers in zip 92130 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650187 | Jb Ortho, Inc. | Orthopaedic Surgery | 4060 Fourth Ave Ste 630, San Diego, CA 92103-2118 | 2020-05-14 |
1962794198 | William Kent | Orthopaedic Surgery | 200 W Arbor Dr., San Diego, CA 92103 | 2011-05-05 |
1194014258 | Jaysson Trevor Brooks | Orthopaedic Surgery | 3030 Childrens Way Fl 3, San Diego, CA 92123-4232 | 2011-03-29 |
1568627602 | Adam M Holleran | Orthopaedic Surgery | 2930 Barnard St Unit 7301, San Diego, CA 92110-5729 | 2008-07-28 |
1356505705 | Michael Lucius Pomerantz | Orthopaedic Surgery | 4445 Eastgate Mall Ste 105, San Diego, CA 92121 | 2008-07-15 |
1962660928 | Nilofar Faghihnia | Orthopaedic Surgery | 425 W Beech St Unit 1306, San Diego, CA 92101-2961 | 2008-05-27 |
1700074127 | Jeremy Bell Mccandless | Orthopaedic Surgery | 4060 4th Ave Ste 700, San Diego, CA 92103-2121 | 2007-10-10 |
1043418759 | Oke Adrian Anakwenze | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2007-07-03 |
1205996097 | Harish Sadanand Hosalkar | Orthopaedic Surgery | 15151 Almond Orchard Ln, San Diego, CA 92131-4328 | 2006-12-11 |
1285703413 | John Glenn Finkenberg | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
Find all providers in SAN DIEGO |
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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.