Organization Active NPI

C Ryan Easterling MD PA

  • Family Medicine Physician
  • Graham, TX
National Provider Identifier
1477045292
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
C RYAN EASTERLING MD PA
Practice address
1339 East St
Graham, TX 76450-4228
Phone
(940) 521-5500
NPI assigned
Jun 6, 2018
Last updated
Jul 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Authorized official

Name
Christopher Easterling, MDNPI 1538554134
Title
Sole Owner
Phone
(940) 521-5500

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1339 East St
Graham, TX 76450-4228

Mailing address

1339 East St
Graham, TX 76450-4228
Phone (940) 521-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731001844 TX Part B Supplier - Clinic/Group Practice 7810245321 Receives reassigned benefits from 2 practitioners
Practice locations: Graham, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1477045292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C RYAN EASTERLING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "940-521-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.