Individual provider Active NPI

Brian A. Esselstein, M.D.

  • Pediatrics Physician
  • Springboro, OH
National Provider Identifier
1114004454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35056751 Issued in OH
Practice address
8 Sycamore Creek Dr
Springboro, OH 45066-2300
Phone
(937) 748-5437
Fax
(937) 748-5434
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35056751 OH Primary

Addresses

Primary practice location

8 Sycamore Creek Dr
Springboro, OH 45066-2300

Mailing address

8 Sycamore Creek Dr
Springboro, OH 45066-2300
Phone (937) 748-5437

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35056751OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springboro Pediatrics, Inc. Pediatrics Past Accepting new patients
Springboro Pediatrics, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114004454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE CREEK DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662300",
            "telephone_number": "937-748-5437",
            "fax_number": "937-748-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE CREEK DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662300",
            "telephone_number": "937-748-5437",
            "fax_number": "937-748-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSELSTEIN",
        "first_name": "BRIAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35056751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.