Individual provider Active NPI

Lewis Eastlick, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Plantation, FL
National Provider Identifier
1013034925
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME0055261 Issued in FL
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

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110804000268 FL Practitioner - Hand Surgery 5294904405 Reassigns benefits to 1 organization
I20251207000147 ID Practitioner - Emergency Medicine 5294904405 Reassigns benefits to 1 organization
I20260121001503 OH Practitioner - Hand Surgery 5294904405 Reassigns benefits to 1 organization

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
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

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 Hospital, Coral Springs, FL, CCN 100276
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3871974IDMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jan 12, 2026 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 12, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.