DR. EASTON L MANDERSON (NPI# 1972532760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972532760 |
| Entity Type | Individual |
| Full Name | DR. EASTON L MANDERSON |
| Credential | M.D. |
| Practice Address |
1140 Varnum St Ne Ste 207 Washington DC 20017-2153 |
| Practice Telephone | 2025265300 |
| Practice Fax Number | 2025266013 |
| Mailing Telephone | 2025265300 |
| Mailing Fax Number | 2025266013 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD6154 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | DE6844 200036987 | 01 |
| DC | 021189900 | 05 | |
| DC | CAREFIRST | F921 0001 | 01 |
| DC | 042893900 | 05 |
| Street Address |
1140 VARNUM ST NE STE 207 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326807 | Manderson Orthopaedic Clinic and Joint Pain Center LLC | Clinic/Center | 1140 Varnum St Ne Ste 207, Washington, DC 20017-2153 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| 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 |
|---|---|---|---|---|
| 1760974992 | Denis R Harris, Md, Pa | Orthopaedic Surgery | 3301 New Mexico Ave Nw Ste 346, Washington, DC 20016-3623 | 2018-06-04 |
| 1437564150 | Joshua Clark Campbell | Orthopaedic Surgery | 2300 M St Nw Ste 5-507, Washington, DC 20037-1434 | 2014-06-23 |
| 1447696638 | Zachary Zimmer | Orthopaedic Surgery | 2300 M St Nw Ste 507, Washington, DC 20037 | 2013-05-15 |
| 1083915326 | Daviess County Hospital | Orthopaedic Surgery | 421 E Van Trees St, Washington, IN 47501-2948 | 2010-11-03 |
| 1952541864 | Rishi Bhatnagar | Orthopaedic Surgery | 2100 Pennsylvania Avenue, George Washington University Department of Orthopaedics, Washington, DC 20037 | 2009-03-05 |
| 1841444106 | Washington Orthopaedic Associates | Orthopaedic Surgery | 1638 Myrtle St Nw, Washington, DC 20012-1130 | 2008-11-12 |
| 1164688172 | Gerald David Ritland | Orthopaedic Surgery | 1663 34th St Nw, Washington, DC 20007-2742 | 2008-07-30 |
| 1700080421 | Jocelyn Rae Idema | Orthopaedic Surgery | 100 Trich Dr Ste 2, Washington, PA 15301-5990 | 2007-06-14 |
| 1477675494 | Scott C. Faucett | Orthopaedic Surgery | 2112 F St Nw Ste 305, Washington, DC 20037 | 2007-04-03 |
| 1831247956 | Richard Andrew Schaefer | Orthopaedic Surgery | Orthopaedic Service, Walter Reed Army Medical Center, Washington, DC 20307-0001 | 2007-01-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
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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.