1265479000 NPI number — GREGORY HUBERT ESSELMAN MD

Table of content: GREGORY HUBERT ESSELMAN MD (NPI 1265479000)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265479000 NPI number — GREGORY HUBERT ESSELMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESSELMAN
Provider First Name:
GREGORY
Provider Middle Name:
HUBERT
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265479000
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 NORTH BELAIR ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVANS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30809-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-868-5676
Provider Business Mailing Address Fax Number:
706-722-2824

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
121 AURORA PLACE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
AIKEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
20596-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-649-0003
Provider Business Practice Location Address Fax Number:
706-722-2824
Provider Enumeration Date:
06/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207YX0905X , with the licence number:  G85176 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207YX0905X , with the licence number: 29469 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Y00000X , with the licence number: 58966 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4516433 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: GP4625 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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