DR. CARL P. EASON (NPI# 1619062585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619062585 |
| Entity Type | Individual |
| Full Name | DR. CARL P. EASON |
| Credential | M.D. |
| Practice Address |
395 W Main St Lake Butler FL 32054-1642 |
| Mailing Address |
Po Box 100371 Gainesville FL 32610-0371 |
| Practice Telephone | 3864963211 |
| Practice Fax Number | 3864961599 |
| Mailing Telephone | 3523382195 |
| Mailing Fax Number | 3522650627 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME53187 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 048070301 | 05 |
| Street Address |
395 W MAIN ST |
| City | LAKE BUTLER |
| State | FL |
| Zip Code | 32054-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895653 | Eleanor Choy Abella | Pediatrics | 395 W Main St, New River Health @union County, Lake Butler, FL 32054-1642 | 2006-03-22 |
| 1417124751 | Meridian Behavioral Healthcare | Community/Behavioral Health | 395 W Main St, Lake Butler, FL 32054-1642 | 2008-05-15 |
| 1083831861 | Andrea E Waterhouse | Nurse Practitioner | 395 W Main St, Lake Butler, FL 32054-1642 | 2007-04-20 |
| 1982764114 | Kirby & Company Pharmacy LLC | Pharmacy | 395 W Main St, Ste C, Lake Butler, FL 32054-1642 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
| 1356690721 | Cheryl Anderson | Nurse Practitioner | 850 East Main Street, Lake Butler, FL 32054 | 2012-08-31 |
| 1891007860 | Lisa Cunningham | Speech-Language Pathologist | 6398 South West State Road 121, Lake Butler, FL 32054 | 2010-07-07 |
| 1609374131 | Michele Lewis | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2018-01-30 |
| 1144756735 | Kateena James | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2017-05-03 |
| 1710380373 | Ashley C Nelson | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2014-09-26 |
| 1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
| 1760689400 | Marta Anisia Castillo | General Practice | 7765 S County Road 231, Lake Butler, FL 32054 | 2007-06-27 |
| 1013972272 | Medlink Management Services Inc | General Acute Care Hospital | 850 E Main St, Lake Butler, FL 32054 | 2006-04-19 |
| 1922105360 | Waldemar Ricardo Riefkohl | Dentist | Reception and Medical Center, Hwy 231, Lake Butler, FL 32054-0628 | 2006-09-20 |
| Find all providers in zip 32054 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
| 1013427954 | Farida Kazvinova | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2017-10-05 |
| 1043644982 | Marie Josephine Garcon | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2013-08-28 |
| 1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
| 1760689400 | Marta Anisia Castillo | General Practice | 7765 S County Road 231, Lake Butler, FL 32054 | 2007-06-27 |
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| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUTLER |
| Zip Code | 32054 |
Please comment or provide details below to improve the information on DR. CARL P. EASON.
| 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.