Easthill Medical Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD 00028063 Issued in WA

Legal business name

EASTHILL MEDICAL CLINIC LLC

Practice address

10413 SE 244TH St
Kent, WA 98030-4961

Phone

(253) 852-2770

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Efren Caratao, Jr. Jr., MD

Title

Business Owner

Phone

(253) 852-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Efren Rebusit Caratao Jr., M.D.

  • General Practice Physician
  • Kent, WA
  • NPI 1366502601
  Medicare reassignment Care Compare group NPD
• Makristy Caratao, M.D.

  • Family Medicine Physician
  • Kent, WA
  • NPI 1174818421
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1245630979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 SE 244TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304961",
            "telephone_number": "253-852-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 SE 244TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304961",
            "telephone_number": "253-852-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTHILL MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "CARATAO, JR.",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "253-852-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD 00028063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208D00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celyna Dayanara Easley, LMP
• East Hill Endodontics
• East Hill Foot and Ankle Clinic
• East Hill Medical Clinic
• East Hill Optometry
• Eastridge Family Dental
• Phylliss Marie Eberhardy, MS LMFT CCDCI
• Stacey Eberly
• Richard E. Eccles, M.D.
• Kiana Ecclestone

• Primary Care Clinic/Center in Kent, WA
• Providers in Kent, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.