R ROBERT EASTRIDGE MD PA NPI 1700956323

NPI Information

NPI: 1700956323
Provider Name: R ROBERT EASTRIDGE MD PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3355 BURNS ROAD
SUITE 103
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 622-4900
Get Directions

R ROBERT EASTRIDGE MD PA is an urology in Palm Beach Gardens, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. R ROBERT EASTRIDGE MD PA NPI is 1700956323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3355 BURNS ROAD
SUITE 103
PALM BEACH GARDENS, FL
ZIP 33410-354
Phone: (561) 622-4900
Fax: (561) 622-0186

The provider's authorized official is Ralph Robert Eastridge .
The authorized official title is Physician President and has the following contact phone number (561) 622-4900.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/3/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		ME22718	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P1695816	OTHER	FLORIDA	OXFORD HEALTH PLAN
2	P00343456	OTHER	FLORIDA	RAILROAD MEDICARE
3	50778Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	D85883	MEDICARE UPIN
5	4600807	OTHER	FLORIDA	AETNA
6	1725514	OTHER	FLORIDA	SIGNA
7	50778Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »