Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 016347 | SC |
NPI | 1962412221 |
---|---|
Provider Name | James A Essman |
First Address | Spartanburg, SC 29303-3081 |
Second Address | Spartanburg, SC 29303-3081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0995050001 | MEDICARE DMERC (01) | SC |
163478 | (05) | SC |
20019463 | RAILROAD MEDICARE (01) | SC |
2742846 | CIGNA HMO (01) | SC |
4212442 | AETNA (01) | SC |
74429 | MEDCOST (01) | SC |
DM0789 | (05) | SC |
E89989 | (02) | SC |
GP1097 | (05) | SC |