Steven D. Eggleston, M.D., P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

L6368 Issued in TX

Legal business name

STEVEN D. EGGLESTON, M.D., P.A.

Practice address

208 Oak Dr S Ste 602
Lake Jackson, TX 77566-5789

Phone

(979) 299-3100

Fax

(979) 266-9598

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Dale Eggleston, M.D.

Title

Surgeon

Phone

(979) 299-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1508077421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 602",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-299-3100",
            "fax_number": "979-266-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 602",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-299-3100",
            "fax_number": "979-266-9598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 E Hospital Dr",
            "address_2": "SUITE 106",
            "address_purpose": "LOCATION",
            "city": "Angleton",
            "state": "TX",
            "postal_code": "775154169",
            "country_code": "US",
            "telephone_number": "979-849-9557",
            "fax_number": "979-849-0789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEVEN D. EGGLESTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "979-299-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L6368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167314701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER NUMBER",
            "identifier": "L6368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.