Organization Active NPI

S. Foster Easley, DO. PC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1982039582
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3212 Issued in AZ
Legal business name
S. FOSTER EASLEY, DO. PC
Practice address
7878 N 16TH St
Phoenix, AZ 85020-4449
Phone
(602) 308-7817
Fax
(602) 277-8146
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. S. Foster Easley III, DO
Title
Owner
Phone
(602) 973-8285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3212 AZ Primary

Addresses

Primary practice location

7878 N 16TH St
Phoenix, AZ 85020-4449

Mailing address

1530 W Glendale Ave
Suite: 104
Phoenix, AZ 85021-8578
Phone (602) 973-8285

National Provider Directory

National Provider Directory

Locations

1530 W Glendale Ave
Ste 104
Phoenix, AZ 85021
Phone (602) 793-8285

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1982039582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W GLENDALE AVE",
            "address_2": "SUITE: 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218578",
            "telephone_number": "602-973-8285",
            "fax_number": "602-973-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204449",
            "telephone_number": "602-308-7817",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. FOSTER EASLEY, DO. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-973-8285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.