Provider Type Icon

EASTON L. MANDERSON M.D. F.A.C.S. PC NPI 1710919501


NPI Information

NPI: 1710919501
Provider Name: EASTON L. MANDERSON, M.D., F.A.C.S., PC

Doing Business As: MANDERSON ORTHOPAEDIC CLINIC AND JOINT PAIN CENTER

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1140 VARNUM ST NE STE 108
WASHINGTON, DC
ZIP 20017
Phone: (202) 526-5300
Get Directions

EASTON L. MANDERSON, M.D., F.A.C.S., PC is an orthopaedic surgery in Washington, DC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. EASTON L. MANDERSON, M.D., F.A.C.S., PC NPI is 1710919501. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manderson Orthopaedic Clinic And Joint Pain Center.

The provider's business location address is:

1140 VARNUM ST NE STE 108
WASHINGTON, DC
ZIP 20017-152
Phone: (202) 526-5300
Fax: (202) 526-6013

The provider's authorized official is Easton L. Manderson .
The authorized official title is Owner and has the following contact phone number (202) 526-5300.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 4/15/2014.


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
1207X00000XOrthopaedic SurgeryYes

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
14053124OTHERAETNA
2DE6844OTHERGEORGIARAILROAD MEDICARE
360184300OTHERDISTRICT OF COLUMBIAAMERIHEALTH DC MEDICAID
4021189900MEDICAIDDISTRICT OF COLUMBIA
5B92719MEDICARE UPINDISTRICT OF COLUMBIA
61710919501MEDICARE NSCDISTRICT OF COLUMBIA
7147572700OTHERDISTRICT OF COLUMBIADEPT OF LABOR
8F921OTHERDISTRICT OF COLUMBIACAREFIRST

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: 11/14/2023

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.