ROBERT K. EASTLACK MD INC


Address: 5265 Amber View Pt, San Diego, CA 92130-6933
Phone: 8583611390

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery A73162 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 093411900 05

Office Location

Street Address 5265 AMBER VIEW PT
City SAN DIEGO
State CA
Zip Code 92130-6933

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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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