Individual provider Active NPI

Aaron M Esbenshade Jr., M.D.

  • Specialist
  • Hermitage, TN
National Provider Identifier
1104832450
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000011346 Issued in TN
Practice address
3810 Central Pike
Suite 202
Hermitage, TN 37076-3494
Phone
(615) 883-9781
Fax
(615) 872-9215
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000011346 TN Primary

Addresses

Primary practice location

3810 Central Pike
Suite 202
Hermitage, TN 37076-3494

Mailing address

3810 Central Pike
Suite 202
Hermitage, TN 37076-3494
Phone (615) 883-9781

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
11346TNMDDentist
MD0000011346TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Lung Specialists Past 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1104832450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL PIKE",
            "address_2": "SUITE 202",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763494",
            "telephone_number": "615-883-9781",
            "fax_number": "615-872-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL PIKE",
            "address_2": "SUITE 202",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763494",
            "telephone_number": "615-883-9781",
            "fax_number": "615-872-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESBENSHADE",
        "first_name": "AARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000011346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.