Individual provider Active NPI

Amir Israel Eshel, MD

  • Obstetrics & Gynecology Physician
  • Reedsville, WV
National Provider Identifier
1043318843
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17178 Issued in WV
Practice address
12302 Veterans Memorial Hwy
Reedsville, WV 26547
Phone
(304) 864-0552
Fax
(304) 864-2827
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17178 WV Primary
Obstetrics & Gynecology Physician 207V00000X ME59928 FL
Obstetrics & Gynecology Physician 207V00000X TP156 KY

Addresses

Primary practice location

12302 Veterans Memorial Hwy
Reedsville, WV 26547

Mailing address

12302 Veterans Memorial Hwy
Reedsville, WV 26547
Phone (304) 864-0552

Other identifiers 2

IdentifierTypeStateIssuer
009245500MedicaidWV
279672400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME59928FLMDAnesthesiology Physician
17178WVMDObstetrics & Gynecology Physician
TP156KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care Center of the Virginias Obstetrics & Gynecology PastSince Oct 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1043318843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 VETERANS MEMORIAL HWY",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "26547",
            "telephone_number": "304-864-0552",
            "fax_number": "304-864-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 VETERANS MEMORIAL HWY",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "26547",
            "telephone_number": "304-864-0552",
            "fax_number": "304-864-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHEL",
        "first_name": "AMIR",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "17178",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME59928",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "TP156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009245500",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279672400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.