Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 25012 | AL |
Y | 207VX0201X | Gynecologic Oncologist | MD.201973 | LA |
NPI | 1255381687 |
---|---|
Provider Name | Jacob Michael Estes |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 09/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009992135 | (05) | AL |
009992145 | (05) | AL |
009992155 | (05) | AL |
009992165 | (05) | AL |
009992175 | (05) | AL |
04729521 | (05) | MS |
051109016 | BCBS (01) | AL |
051527932 | BLUE CROSS (01) | AL |
051527933 | BLUE CROSS (01) | AL |
051527934 | BCBS (01) | AL |
051527934 | BLUE CROSS (01) | AL |
051527935 | BCBS (01) | AL |
051527935 | BLUE CROSS (01) | AL |
051527936 | BLUE CROSS (01) | AL |
051530395 | BCBS (01) | AL |
051530395 | BLUE CROSS (01) | AL |
051545189 | BCBS (01) | AL |
051591469 | BCBS (01) | AL |
1184349 | (05) | LA |
121876 | (05) | AL |
121881 | (05) | AL |
121886 | (05) | AL |
121887 | (05) | AL |
121889 | (05) | AL |
121891 | (05) | AL |
P00881533 | RAILROAD MEDICARE (01) | AL |