JEFFREY CHARLES EASOM (NPI# 1730146739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730146739 |
| Entity Type | Individual |
| Full Name | JEFFREY CHARLES EASOM |
| Credential | D.O. |
| Practice Address |
3051 Watson Blvd Suite 400 Warner Robins GA 31093-8536 |
| Practice Telephone | 4789534563 |
| Practice Fax Number | 4789534616 |
| Mailing Telephone | 4789534563 |
| Mailing Fax Number | 4789534683 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
054269 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 976624642A | 05 |
| Street Address |
3051 WATSON BLVD SUITE 400 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-8536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632596 | Matthew Thomas Henry | Physical Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2005-07-11 |
| 1619380821 | Karen Stewart | Occupational Therapist | 3051 Watson Blvd, Ste 525, Warner Robins, GA 31093-8536 | 2014-06-05 |
| 1346524634 | Geoff Aulds | Physical Therapist | 3051 Watson Blvd, Ste 525, Warner Robins, GA 31093-8536 | 2011-10-05 |
| 1679854145 | Gejuanna Hargrove Fletcher | Occupational Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2011-08-29 |
| 1134415235 | Jonathan Harris | Orthopaedic Surgery | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2011-06-27 |
| 1558661348 | Jessica Lynch | Physical Therapy Assistant | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2010-10-26 |
| 1447589502 | Jennifer Jean Tucker | Community Health Worker | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-18 |
| 1790014918 | Angela Darlene Andrews | Specialist/Technologist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-17 |
| 1609105808 | Jeremy Marcus Mainor | Community Health Worker | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-17 |
| 1336472935 | Lindy B. Bramblett | Physician Assistant | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8536 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326679671 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 | 2020-01-27 |
| 1932730298 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 | 2020-01-27 |
| 1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
| 1437601598 | Optim Orthopedics LLC | Orthopaedic Surgery | 460 Mall Blvd Ste B, Savannah, GA 31406-4801 | 2016-10-25 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| 1396121315 | 2 Bare Bones Medical LLC | Orthopaedic Surgery | 11102 Abercorn St, Savannah, GA 31419-1822 | 2015-07-31 |
| 1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
| 1306102785 | Elan J Golan | Orthopaedic Surgery | 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 | 2012-04-10 |
| 1235405747 | Pinnacle Orthopaedics & Sports Medicine Specia | Orthopaedic Surgery | 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 | 2012-03-29 |
| 1346413648 | Mathew William Pombo | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
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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.