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DR. S FOSTER EASLEY D.O. NPI 1396789830


NPI Information

NPI: 1396789830
Provider Name: DR. S FOSTER EASLEY, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1530 W. GLENDALE AVE.
SUITE 104
PHOENIX, AZ
ZIP 85021
Phone: (602) 973-8285
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DR. S Foster Easley, D.O. is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. S Foster Easley, D.O. NPI is 1396789830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1530 W. GLENDALE AVE.
SUITE 104
PHOENIX, AZ
ZIP 85021
Phone: (602) 973-8285
Fax: (602) 973-8248

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction Medicine3212ARIZONANo
2207RA0401XInternal MedicineAddiction Medicine3212ARIZONANo
3207RI0200XInternal MedicineInfectious Disease3212ARIZONANo
4207Q00000XFamily Medicine3212ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1579170MEDICAIDARIZONA
2Z140564MEDICARE PINARIZONA
378072MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.