Individual provider Active NPI

Martin Durelle Eason, M.D.

  • Anesthesiology Physician
  • Waxahachie, TX
National Provider Identifier
1245217629
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L5317 Issued in TX
Practice address
1405 W Jefferson St
Waxahachie, TX 75165-2231
Phone
(972) 937-7240
Fax
(972) 937-4255
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L5317 TX Primary

Addresses

Primary practice location

1405 W Jefferson St
Waxahachie, TX 75165-2231

Mailing address

327 N Grand Ave Ste 1
Waxahachie, TX 75165-2219
Phone (972) 937-7240

Other identifiers 1

IdentifierTypeStateIssuer
161832402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001801 TX Practitioner - Anesthesiology 2264420363 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 856-0665

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 645-5505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5317TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Feb 15, 2023 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jan 20, 2022 Accepting new patients
NTX Anesthesiology Consultants PLLC Anesthesiology CurrentSince May 4, 2018 Accepting new patients
Anesthesia Partners of Dallas PLLC Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Apr 30, 2022 Accepting new patients
Gary Victor Scalfano Anesthesiology Past Accepting new patients

Locations

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

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 4

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1245217629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N GRAND AVE STE 1",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652219",
            "telephone_number": "972-937-7240",
            "fax_number": "972-937-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652231",
            "telephone_number": "972-937-7240",
            "fax_number": "972-937-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "MARTIN",
        "middle_name": "DURELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L5317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161832402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.