DR. EMORY LEVON EASTIN (NPI# 1861475402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861475402 |
| Entity Type | Individual |
| Full Name | DR. EMORY LEVON EASTIN |
| Other Name | DR. EMORY LEVON EASTIN |
| Credential | M.D. |
| Practice Address |
1686 Skylyn Dr Suite 101 Spartanburg SC 29307-1058 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8645853456 |
| Practice Fax Number | 8645853209 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | J4095 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 293907 | 05 | |
| SC | RR MEDICARE | P00708630 | 01 |
| GA | MEDICARE RAILROAD PTAN# | P00387008G | 01 |
| Street Address |
1686 SKYLYN DR SUITE 101 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356683619 | Jana Platz Keating | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307 | 2013-03-25 |
| 1861782450 | Leah Rebecca Goodson-gerami | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1079 | 2011-04-15 |
| 1760637904 | Spartanburg Medical Center | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1079 | 2008-12-01 |
| 1730376948 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 102, Spartanburg, SC 29307-1058 | 2007-10-02 |
| 1942495551 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1058 | 2007-09-07 |
| 1104035526 | Amber Ann Wallace | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307 | 2007-05-22 |
| 1609094481 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 | 2007-04-24 |
| 1477583169 | Jennifer Sommerville Colburn | Pediatrics | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1079 | 2006-07-05 |
| 1275587065 | George Charles Haddad Jr. | Pediatrics | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1058 | 2006-05-19 |
| 1417900697 | Louis Buttino | Obstetrics & Gynecology | 1686 Skylyn Dr, Spartanburg, SC 29307-1058 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1518306059 | Misty L Mcdowell | Obstetrics & Gynecology | 853 N Church St Ste 610, Spartanburg, SC 29303-3070 | 2013-06-18 |
| 1437248259 | Christy Grant Kobes | Obstetrics & Gynecology | 211 Indian Wells Dr, Spartanburg, SC 29306-6669 | 2006-10-12 |
| 1710995105 | Mary Black Health System, LLC | Obstetrics & Gynecology | 123 Dillon Dr, Spartanburg, SC 29307-1017 | 2006-08-03 |
| 1043251291 | Kristine Dee Boyd | Obstetrics & Gynecology | 853 N Church St Ste 700, Spartanburg, SC 29303 | 2006-06-09 |
| 1699729459 | Aaron M Toler | Obstetrics & Gynecology | 1686 Skylyn Drive, Suite 101, Spartanburg, SC 29307 | 2006-05-19 |
| 1598722290 | Mary Haddad | Obstetrics & Gynecology | 250 North Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-27 |
| 1285696690 | Peter Arnold Sereque | Obstetrics & Gynecology | 250 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-03 |
| 1245700301 | Spartanburg Medical Center | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1079 | 2018-12-03 |
| 1902243389 | Jessica Marie Hemsoth | Obstetrics & Gynecology | 853 N Church St Ste 700, Spartanburg, SC 29303-3003 | 2013-05-26 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.