Easton L Manderson


Address: 1140 Varnum St Ne, Suite 207, Washington, DC 20017-2153

Easton L Manderson (NPI# 1972532760, PAC ID# 3678463866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1972532760
PAC ID by PECOS 3678463866
Professional Enrollment ID I20040326000591
Full Name Easton L Manderson
Address 1140 Varnum St Ne
Suite 207
Washington
DC 20017-2153
Gender M
Credential MD
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1971
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090011 MEDSTAR WASHINGTON HOSPITAL CENTER
210003 UNIVERSITY OF MD PRINCE GEORGE'S HOSPITAL CTR
090003 HOWARD UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
1140 Varnum St Ne, Suite 207, Washington, DC 20017-2153

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1140 VARNUM ST NE
SUITE 207
City WASHINGTON
State DC
Zip 20017-2153

Physicians in the same location

Name Specialty Organization Address
Nana Y Asamoah-mensah Neurology 1140 Varnum St Ne, Suite 205, Washington, DC 20017-2153
Ayasha L Williams-sharron Physical Medicine and Rehabilitation 1140 Varnum St Ne, Washington, DC 20017-2151
William Peterson Neurology 1140 Varnum St Ne, Suite 101, Washington, DC 20017-2100
Melissa Fagonde Family Medicine Providence Health Services Inc 1140 Varnum St Ne, Pmb 103, Washington, DC 20017-2149
Jose M Bordon Infectious Disease Washington Health Institute 1140 Varnum St Ne, Suite 203, Washington, DC 20017-2153
William Brownlee General Surgery 1140 Varnum St Ne, Pmb 106, Washington, DC 20017-2151
Christina Schreiber Family Medicine Providence Health Services Inc 1140 Varnum St Ne, Pmb 103, Washington, DC 20017-2149
Doris V Pablo -bustos Internal Medicine 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151
Elwin G Bustos Nephrology Bustos and Associates, LLC 1140 Varnum St Ne, Washington, DC 20017-2151
Ines Natividad Internal Medicine Providence Health Services Inc 1140 Varnum St Ne, Pmb 200, Washington, DC 20017-2149
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Physicians in the same zip code

Name Specialty Organization Address
Aisha M Ellis Nurse Practitioner Washington Hospital Center Corp 216 Michigan Ave Ne, Washington, DC 20017-1095
Stuart Lawrence Horwitz Gastroenterology 4200 Harewood Nerd, Washington, DC 20017-1511
Reginald Barnes Ophthalmology 4200 Harewood Rd Ne, Washington, DC 20017-1511
Herman Q Green Physical Therapy Lifestyle Rehab and Wellness LLC 4200 Harewood Rd Ne, Little Sisters of The Poor, Washington, DC 20017-1511
Rosetta T Hendricks Nurse Practitioner 1140 Varnum St Ne, Suite 106 Pmb, Washington, DC 20017-2100
Mowaffak Alhamad Thoracic Surgery 1160 Varnum St N E, Suite 318, Washington, DC 20017-2103
Jessica N Stillman Psychologist, Clinical The Neurology Center 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103
Dal Yoo Medical Oncology 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103
Jesse Gabriel Brand Psychologist, Clinical The Neurology Center 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103
Harminder S Sethi Hematology/oncology 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103
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Competitor

Search similar physicians

City WASHINGTON
Zip Code 20017
Specialty ORTHOPEDIC SURGERY
City + Specialty WASHINGTON + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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