LARRY E EASTERLING MD
NPI 1366552218
Pediatrics - Pediatric Critical Care Medicine in Fort Worth, TX

Active since August 30, 2006PECOS Enrolled
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4268(682) 885-7956 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larry E Easterling Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY E EASTERLING MD (NPI 1366552218) is an individual pediatric critical care medicine provider in Fort Worth, Texas, licensed in Texas (H9626) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366552218
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameLARRY E EASTERLINGCredential: MD
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Fax(682) 885-7956
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 4, 2012
NPI 1366552218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in TX · H9626
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

801 7TH AVE, Fort Worth, TX 76104

Other Identifiers 15

Other124132TX · Superior Pin
Other00U87ZTX · Bcbstx Grp Pin
Other1750369203Grp Npi Number
Other87143TX · Phcs Pin
Medicare PIN8L20966
Other1392703TX · Uhc Pin
Other82Y892TX · Bcbstx Ind Pin
Medicaid129718605TX
Other6414914TX · Cigna Pin
Medicare UPINB62589
Other10032461TX · Amerigroup Pin
Other112097100TX · Firstcare Pin
Other1727198TX · Firsthealth Pin
Other129718606TX · Cshcn
Other4301822TX · Aetna Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larry E Easterling Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
801 7TH AVE
FORT WORTH, TX 76104
Pharmacist
801 7TH AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE, COOK CHILDRENS, DEPT OF NEONATOLOGY
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366552218, enumerated as an "individual" on August 30, 2006.

The provider is located at 801 7TH AVE FORT WORTH, TX 76104 and the phone number is (682) 885-4268.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.