Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
R JACK EASTHAM, MD
ActiveR JACK EASTHAM, MD is a Otolaryngology healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1477518389 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CHARLOTTESVILLE, VA
Registration Details
- NPI Number
- 1477518389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.335253957124 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101020554 (VA)
Practice Information
- Address
-
1000 EAST HIGH STREETSUITE ACHARLOTTESVILLE, VA, 229024848Browse VA providers · Browse ZIP 22902
- Phone
- 4348172300
- Fax
- 4348172306
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in CHARLOTTESVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. SPENCER CRANSTON PAYNE | M.D. | 1679564777 |
| JOHN C MASON | M.D. | 1992717961 |
| STEPHEN V. EARLY | — | 1639248255 |
| DANIEL A. LANDES | — | 1972672509 |
| CHARLES W. GROSS | — | 1073682605 |
| STEPHEN S. PARK | — | 1457420085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.