NPIMap

Individual provider Active NPI

Maria Florencia Eastlack, M.D.

  • Anesthesiology Physician
  • Greenville, SC
National Provider Identifier
1851682256
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
52408 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615
Phone
(864) 522-3700
Fax
(834) 522-3705
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q2440 TX
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 52408 SC Primary

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

6606 Lbj Fwy Ste 200
Dallas, TX 75240
Phone (972) 715-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625000005 SC Practitioner - Anesthesiology 8123332343 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Anesthesiology CurrentSince Jun 16, 2022 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 16, 2022 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Under Anesthesia Anesthesiology CurrentSince Mar 16, 2019 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Aug 2, 2019 Accepting new patients
Jay Godines, LLC Anesthesiology Past Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

420 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4402

Interoperability endpoints

  • Direct secure messaging: meastlack571138@direct.ghs.myhfn.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1851682256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-522-3700",
            "fax_number": "834-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTLACK",
        "first_name": "MARIA",
        "middle_name": "FLORENCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q2440",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "52408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.