DR. JEFFREY ARNOLD EASLEY M.D.
NPI 1790756914
Family Medicine in Fort Wayne, IN

Q: What is Jeffrey Easley's NPI number?

The NPI number for Jeffrey Easley is 1790756914. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Jeffrey Easley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Easley was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2006

4619 COVINGTON RD., FORT WAYNE, IN 46804(419) 605-8668(419) 232-4498 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jeffrey Arnold Easley M.d. NPPES

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

DR. JEFFREY ARNOLD EASLEY M.D. (NPI 1790756914) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01073504A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1790756914

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEFFREY ARNOLD EASLEYCredential: M.D.

Location Address4619 COVINGTON RD.Fort Wayne, IN 46804

Mailing Address4619 Covington Rd.Fort Wayne, IN 46804 · (419) 605-8668 · Fax (419) 232-4498

Phone(419) 605-8668

Fax(419) 232-4498

Sole ProprietorYes

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJanuary 17, 2020

✔ NPI 1790756914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01073504A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4619 COVINGTON RD., Fort Wayne, IN 46804

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Other Identifiers 1

Medicaid0784441OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Easley's NPI number?

The NPI number for Jeffrey Easley is 1790756914. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jeffrey Easley located?

Jeffrey Easley practices at 4619 Covington Rd., Fort Wayne, IN 46804. The listed phone number is (419) 605-8668.

What is Jeffrey Easley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Easley was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.