Daughtry Eastridge & Katona MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DAUGHTRY EASTRIDGE & KATONA MD PA

Practice address

3355 Burns Road
Suite 103
Palm Beach Gardens, FL 33410-4354

Phone

(561) 622-4900

Fax

(561) 622-0186

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Ralph Robert Eastridge Jr., MDNPI 1376535138

Title

Physician President

Phone

(561) 622-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urology Associates of the Palm Beaches Doing business as

Locations

Practitioners 1

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

• Ralph Robert Eastridge, MD

  • Urology Physician
  • Palm Beach Gardens, FL
  • NPI 1376535138
  NPD (past) Authorized official

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336128271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS ROAD",
            "address_2": "SUITE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-622-4900",
            "fax_number": "561-622-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS ROAD",
            "address_2": "SUITE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-622-4900",
            "fax_number": "561-622-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTRY EASTRIDGE & KATONA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EASTRIDGE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "561-622-4900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "72051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darjen, Inc
• Shital Hemant Darji
• Kristina Darville-Hendrix, PHARMACIST(PHARM.D)
• Lynn Darville
• Alan Darwish, PTA
• Daughtry Eastridge and Katone MD PA
• David a Lickstein MD LLC
• David a. Goldman MD, LLC
• David S McEwen Dcpa
• David S. Bush, PH.D., P.a.

• Urology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.