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JUSTIN JAMES EGGLESTON DO NPI 1790785319


NPI Information

NPI: 1790785319
Provider Name: JUSTIN JAMES EGGLESTON, DO
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
201 STATE ST
HAMOT EMERGENCY ROOM
ERIE, PA
ZIP 16550
Phone: (814) 877-6139
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Justin James Eggleston, DO is an emergency medicine in Erie, PA with 24 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Justin James Eggleston, DO NPI is 1790785319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2000

The provider's business location address is:

201 STATE ST
HAMOT EMERGENCY ROOM
ERIE, PA
ZIP 16550-002
Phone: (814) 877-6139
Fax: (814) 877-6093

The NPI 1790785319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 5/5/2008.


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
1207P00000XEmergency MedicineOS011861PENNSYLVANIAYes

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
11537945OTHERPENNSYLVANIAGATEWAY
2P00147174OTHERPENNSYLVANIARR MEDICARE
3I10971MEDICARE UPIN
402593433OTHERNEW YORKNY MEDICAL ASSISTANCE
5081079E7CMEDICARE PINPENNSYLVANIA
61625163OTHERPENNSYLVANIABLUE SHIELD
7156601OTHERPENNSYLVANIAUNISON
81011365700001MEDICAIDPENNSYLVANIA
9410043OTHERPENNSYLVANIAUPMC
1000026790801OTHERNEW YORKUNIVERA
117895534OTHERPENNSYLVANIAAETNA
121068837OTHERWEST VIRGINIAW. VIRGINIA WORKERS COMP
132484753OTHEROHIOOH MEDICAL ASSISTANCE

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.