Organization Active NPI

Esbenshade Medical Care PC

  • Adult Medicine Physician
  • Perkasie, PA
National Provider Identifier
1063649283
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD069937L Issued in PA
Legal business name
ESBENSHADE MEDICAL CARE PC
Practice address
2615 Crabapple Cir
Perkasie, PA 18944-5460
Phone
(215) 703-3751
Fax
(215) 703-3744
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Susan Slack
Title
Medical Biller
Phone
(215) 348-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD069937L PA Primary

Addresses

Primary practice location

2615 Crabapple Cir
Perkasie, PA 18944-5460

Mailing address

2615 Crabapple Cir
Perkasie, PA 18944-5460
Phone (215) 703-3751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1063649283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CRABAPPLE CIR",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189445460",
            "telephone_number": "215-703-3751",
            "fax_number": "215-703-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CRABAPPLE CIR",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189445460",
            "telephone_number": "215-703-3751",
            "fax_number": "215-703-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESBENSHADE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "215-348-2335"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD069937L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perkasie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.