Individual provider Active NPI

Kenneth A Essig, M.D.

  • Urology Physician
  • Winter Haven, FL
National Provider Identifier
1073519310
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 73354 Issued in FL
Practice address
7599 Cypress Gardens Blvd
Winter Haven, FL 33884-3263
Phone
(863) 845-2688
Fax
(863) 291-6050
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 73354 FL Primary

Addresses

Primary practice location

7599 Cypress Gardens Blvd
Winter Haven, FL 33884-3263

Mailing address

7599 Cypress Gardens Blvd
Winter Haven, FL 33884-3263
Phone (863) 845-2688

Other identifiers 1

IdentifierTypeStateIssuer
014245200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KennethA.Essig@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000553 FL Practitioner - Urology 9931121050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 73354FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Essig MD PA Urology CurrentSince Jan 1, 2006 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

235 Citrus Tower Blvd
Ste 102
Clermont, FL 34711
Phone (352) 242-2826

2211 North Blvd W
Davenport, FL 33837
Phone (863) 223-2166

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

7599 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 324-4725

7599 Cypress Gardens Blvd
Ste P
Winter Haven, FL 33884
Phone (863) 324-4725

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1073519310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7599 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843263",
            "telephone_number": "863-845-2688",
            "fax_number": "863-291-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7599 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843263",
            "telephone_number": "863-845-2688",
            "fax_number": "863-291-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIG",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 73354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014245200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KennethA.Essig@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.