Justin Allen Eaches, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.002801 Issued in OH

Practice address

2828 1St Ave
Suite 400
Huntington, WV 25702-1236

Phone

(304) 525-6905

Fax

(304) 529-6880

NPI assigned

Mar 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1912272683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 COUNTY ROAD 1",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808832",
            "telephone_number": "304-638-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-525-6905",
            "fax_number": "304-529-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EACHES",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.002801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Dyer
• Ashley Nicole Dygert
• Downer Pace Dykes III, PHARMD
• Lillian Lee Dyson, MD
• Dominika Dziadecki, MD
• Cara Eades, RN
• Franklin Hunter Ealey
• Kristen Lee Earl, P.T.
• Angela Earle
• Asia Early

• Athletic Trainer in Huntington, WV
• Providers in Huntington, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.