DR. MARIE OWSLEY EASTERLIN M.D. NPI 1003008111

Obstetrics & Gynecology in Brunswick, GA

About MARIE EASTERLIN

Marie Easterlin is a provider in Brunswick, GA with more than 13 years of experience. The NPI number assigned to this provider is 1003008111. The practitioner's primary taxonomy code is Obstetrics & Gynecology (207V00000X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Marie Easterlin is registered with Medicare and accepts claims assignment.

NPI1003008111 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MARIE OWSLEY EASTERLIN M.D.
Provider Location Address418 EH CT UNIT 4B BRUNSWICK, GA 31520 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address418 EH CT UNIT 4B BRUNSWICK, GA 31520 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-02-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MARIE OWSLEY EASTERLIN M.D.
418 EH CT
UNIT 4B
BRUNSWICK, GA
ZIP 31520
Phone: (912) 267-0884
Fax: (913) 267-9396
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Mailing Address

DR. MARIE OWSLEY EASTERLIN M.D.
418 EH CT
UNIT 4B
BRUNSWICK, GA
ZIP 31520
Phone: (912) 267-0884
Fax: (913) 267-9396

Primary Taxonomy

Taxonomy Code207V00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.1536
License StateGA
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology253182NYNo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
003113870AMEDICAID (05)GA

Map Location


DR. MARIE OWSLEY EASTERLIN M.D. address is 418 EH CT UNIT 4B BRUNSWICK, GA 31520

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962684001JUANITA Y LOTT MD PC
Organization
Family Medicine418 EH CT
BRUNSWICK, GA 31520
(912) 265-5035
1972572923DR. MATTHEW M JOHNSTON M.D.
Individual
Obstetrics & Gynecology418 EH CT UNIT 4B
BRUNSWICK, GA 31520
(912) 267-0884