Individual provider Active NPI

Matthew Eastman, DO

  • Family Medicine Physician
  • West Jordan, UT
National Provider Identifier
1952344962
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4996646-1204 Issued in UT
Practice address
2655 W 9000 S
West Jordan, UT 84088-8542
Phone
(801) 256-6399
NPI assigned
Jun 14, 2006
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4996646-1204 UT Primary

Addresses

Primary practice location

2655 W 9000 S
West Jordan, UT 84088-8542

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address matthew.eastman@direct.imail.org
Direct Messaging Address matthew.eastman@direct.imail.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119001245 UT Practitioner - Family Practice 8527084417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1034 N 500
Uvh Psych Dept
Provo, UT 84604-3380
Phone (801) 357-7850

2655 W 9000
West Jordan, UT 84088-8542
Phone (801) 256-6343

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 22, 2015 Accepting new patients
Ihc Health Services Inc Pediatrics CurrentSince Apr 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 22, 2015 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1952344962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888542",
            "telephone_number": "801-256-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4996646-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.eastman@direct.imail.org",
            "affiliation": "N",
            "address_1": "2655 W 9000 S",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840888542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.eastman@direct.imail.org",
            "affiliation": "N",
            "address_1": "2655 W 9000 S",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840888542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.