Mary E. Eslick

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

031570 Issued in CT

Legal business name

MARY E. ESLICK

Practice address

59 Sachem St
Norwich, CT 06360-4201

Phone

(860) 889-1351

Fax

(860) 889-0319

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kerri Atwood

Title

Billing Dept.

Phone

(860) 823-1363

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1043409741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SACHEM ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604201",
            "telephone_number": "860-889-1351",
            "fax_number": "860-889-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SACHEM ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604201",
            "telephone_number": "860-889-1351",
            "fax_number": "860-889-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E. ESLICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "BILLING DEPT.",
        "authorized_official_telephone_number": "860-823-1363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "031570",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "031570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NLP085",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "010031570CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "030079",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Martin, LCSW
• Laura Martin, PHARM.D.
• Richard J Martin, M.D., D.M.D.
• Angelica Martinez, LPC
• Michael Figueira Martins, MD
• Masonicare Home Health and Hospice, Inc.
• Jenna Massaro, DO
• Amy Masse, PSY.D.
• Rachel Massey, PA
• Dina Maulucci

• Pediatrics Physician in Norwich, CT
• Providers in Norwich, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.