Active NPI
Lewis Eastlick, M.D.
- Surgery of the Hand (Surgery) Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- ME0055261
- Practice address
- 4100 NW 3Rd CT
Suite 200
Plantation, FL 33317-2813 - Phone
- (954) 797-7982
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 3871974 | ID | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | ME0055261 | FL | Primary |
Addresses
Primary practice location
4100 NW 3Rd CT
Suite 200
Plantation, FL 33317-2813
Mailing address
4100 NW 3Rd CT Ste 200
Plantation, FL 33317-2837
Phone (954) 797-7982
Other practice location 1
2400 Miami Valley Dr Ste 280
Centerville, OH 45459-4774
Phone (937) 435-4263
Other practice location 2
999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ID, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Miami, LM Miller School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
4101 NW 4TH St
Suite 407
Plantation, FL 33317-2836
450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773
9980 Central Park Blvd N
Suite 118
Boca Raton, FL 33428-1703
Phone (954) 369-4545
Hospital & facility affiliations
- Broward Health Coral Springs
- Miami Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3871974 | ID | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Specialty Services Inc | Past | Accepting new patients |
Locations
999 N Curtis Rd
Ste 415
Boise, ID 83706
Phone (208) 302-2600
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
2400 Miami Valley Dr
Ste 280
Centerville, OH 45459
Phone (937) 435-4263
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Interoperability endpoints
- leastlick3990245@direct.trinity-health.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery of the Hand (Surgery) Physician
- Plantation, FL
- NPI 1487983581
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1093040479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1013034925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 NW 3RD CT STE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172837",
"telephone_number": "954-797-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NW 3RD CT",
"address_2": "SUITE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172813",
"telephone_number": "954-797-7982"
}
],
"practiceLocations": [
{
"address_1": "2400 Miami Valley Dr Ste 280",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594774",
"country_code": "US",
"telephone_number": "937-435-4263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 N Curtis Rd Ste 415",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061334",
"country_code": "US",
"telephone_number": "208-302-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTLICK",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "ID",
"license": "3871974",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "FL",
"license": "ME0055261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.