Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

R JACK EASTHAM MD
NPI 1477518389
Otolaryngology in Charlottesville, VA

Active since April 20, 2006
1000 EAST HIGH STREET, SUITE A, CHARLOTTESVILLE, VA 22902(434) 817-2300(434) 817-2306 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About R Jack Eastham Md NPPES

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

R JACK EASTHAM MD (NPI 1477518389) is an individual otolaryngology provider in Charlottesville, Virginia, licensed in Virginia (0101020554) and active in the NPI registry since April 2006.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1477518389
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameR JACK EASTHAMCredential: MD
Location Address1000 EAST HIGH STREET, SUITE ACharlottesville, VA 22902-4848
Mailing Address1000 East High Street, Suite ACharlottesville, VA 22902-4848 · (434) 817-2300 · Fax (434) 817-2306
Fax(434) 817-2306
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1477518389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in VA · 0101020554
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1000 EAST HIGH STREET, Charlottesville, VA 22902

Other Identifiers 3

Other419580VA · Southern Health
Medicaid6577725VA
Other014258VA · Anthem Bc Bs

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology
1000 EAST HIGH STREET, SUITE B
CHARLOTTESVILLE, VA 22902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477518389, enumerated as an "individual" on April 20, 2006.

The provider is located at 1000 EAST HIGH STREET SUITE A CHARLOTTESVILLE, VA 22902 and the phone number is (434) 817-2300.

Otolaryngology with taxonomy code 207Y00000X.

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