| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN EASTMAN | 1720608912 | 2023-11-15 |
John Eastman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720608912. Registration indicates John Eastman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | John Eastman |
| Practice Office Address | 1337 HYDE PARK AVE HYDE PARK, MA US |
| Practice Office Telephone | 6173649880 |
| Mailing Address | 184 ELM ST APT 3 QUINCY, MA 021695515 US |
| Business Telephone | 7814754736 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 277 Pleasant St Ste 202 | Fall River, MA 027213005 | 5082350481 |
| 1832 Centre St | West Roxbury, MA 021321901 | 6174694000 |
| 100 Everett Ave # 16C | Chelsea, MA 021502309 | 6178874600 |
| 143 Longwater Dr | Norwell, MA 020611683 | 7816248000 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA7499
MA |