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DR. JASON P EASTLACK MD NPI 1003137084


NPI Information

NPI: 1003137084
Provider Name: DR. JASON P EASTLACK, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
1519 MARION ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 296-5954
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DR. Jason P Eastlack, MD is a diagnostic radiology radiology in Columbia, SC with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jason P Eastlack, MD NPI is 1003137084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2010

The provider's business location address is:

1519 MARION ST
COLUMBIA, SC
ZIP 29201-910
Phone: (803) 296-5954
Fax: (803) 296-3076

The NPI 1003137084 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.

  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of chest, 1 view, front (HCPCS:71010)

The enumeration date for this NPI number is 6/14/2010 and was last updated on 11/11/2020.


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
12085R0202XRadiologyDiagnostic Radiology52431SOUTH CAROLINAYes
22085R0202XRadiologyDiagnostic RadiologyP2434TEXASNo
32085R0202XRadiologyDiagnostic Radiology24394MISSISSIPPINo

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.