Active NPI
Joanne Marie Eash, D.C.
- Rehabilitation Chiropractor
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH9513
- Practice address
- 4705 Clyde Morris Blvd
Port Orange, FL 32129-4103 - Phone
- (386) 763-2718
- Fax
- (386) 763-2719
- NPI assigned
- Feb 20, 2008
- Last updated
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 12009 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | CH9513 | FL | Primary |
Addresses
Primary practice location
4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Mailing address
4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9513 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Current | Accepting new patients | |
| Palmer College Foundation | Current | Accepting new patients |
Locations
311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644
4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palmer College of Chiropractic Florida
- Chiropractor
- Port Orange, FL
- NPI 1568552255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1457529745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 CLYDE MORRIS BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294103",
"telephone_number": "386-763-2718",
"fax_number": "386-763-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 CLYDE MORRIS BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294103",
"telephone_number": "386-763-2718",
"fax_number": "386-763-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASH",
"first_name": "JOANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "12009",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH9513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
- Jacqueline Dusseau
- Larissa Dvorak, OD
- Madison Dvorak, RBT
- Rebecca Dyke
- Dynamic Strides Therapy, LLC
- East Central Florida Outpatient Imaging LLC (Radiology Associates Belvedere)
- East Central Florida Outpatient Imaging LLC (Port Orange Imaging Center)
- East Central Florida Outpatient Imaging LLC (Radiology Associates Port Orange West)
- East Coast Behavioral Services
- East Coast Chiropractic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.