Organization Active NPI

Cynthia J Easter MD LLC

  • Medical Specialty Clinic/Center
  • Maryville, TN
National Provider Identifier
1295350775
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CYNTHIA J EASTER MD LLC
Practice address
641 Morganton Square Dr
Maryville, TN 37801-4763
Phone
(865) 724-1590
Fax
(865) 724-1591
NPI assigned
Jun 10, 2020
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Cynthia J Easter, MDNPI 1659422053
Title
Pediatrician
Phone
(865) 924-0979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

641 Morganton Square Dr
Maryville, TN 37801-4763

Mailing address

1536 Mint Meadows Dr
Maryville, TN 37803-2542
Phone (865) 924-0979

National Provider Directory

National Provider Directory

Locations

681 Morganton Square Dr
Maryville, TN 37801
Phone (217) 821-1958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1295350775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 MINT MEADOWS DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032542",
            "telephone_number": "865-924-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "865-724-1590",
            "fax_number": "865-724-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J EASTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "865-924-0979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.