R Robert Eastridge MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME22718 Issued in FL

Legal business name

R ROBERT EASTRIDGE 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

Nov 9, 2006

Last updated

Aug 3, 2007By the provider in NPPES

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, MDNPI 1376535138

Title

Physician President

Phone

(561) 622-4900

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Ralph Robert Eastridge, MD

  • Urology Physician
  • Palm Beach Gardens, FL
  • NPI 1376535138
  Authorized official Same address or phone

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1700956323",
    "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": "R ROBERT EASTRIDGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-08-03",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME22718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGNA",
            "identifier": "1725514",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00343456",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4600807",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P1695816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Quasha, DMD
• Elizabeth Marie Quesquen, FNP
• Elizabeth Celine Quijada
• David Quintero, DC
• Jorge Armando Quintero
• Lisa M. Rabant, OTR/L, CHT
• Radiant Life ABA, LLC
• Radiation Oncology Institute, LLC
• Radiology Physician Solutions of Florida LLC
• Tarranique Rahming, B.S

• 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 3, 2007; 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.