NPIMap

Individual provider Active NPI

Patricia J. Eastman, M.D.

  • Nuclear Radiology Physician
  • Scottsbluff, NE
National Provider Identifier
1699762120
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
15751 Issued in NE
Practice address
2 W 42ND St
Suite 2100
Scottsbluff, NE 69361-0615
Phone
(308) 630-2906
Fax
(308) 632-6181
NPI assigned
Sep 30, 2005
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 15751 NE Primary

Addresses

Primary practice location

2 W 42ND St
Suite 2100
Scottsbluff, NE 69361-0615

Mailing address

2 W 42ND St
Suite 2100
Scottsbluff, NE 69361-0615
Phone (308) 630-2906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15751NEMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Associates PC Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1699762120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 2100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610615",
            "telephone_number": "308-630-2906",
            "fax_number": "308-632-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 2100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610615",
            "telephone_number": "308-630-2906",
            "fax_number": "308-632-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "PATRICIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NE",
            "license": "15751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.