Individual provider Active NPI

Miechia Ashawn Esco, M.D.,PHD

  • Surgery Physician
  • Eau Claire, WI
National Provider Identifier
1164595310
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2015-00576 Issued in NC
Practice address
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone
(715) 717-4121
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 230433 MA
Vascular Surgery Physician 2086S0129X 4301095536 MI
Vascular Surgery Physician 2086S0129X 2015-00576 NC
Vascular Surgery Physician 2086S0129X ME120203 FL
Surgery Physician 208600000X 2015-00576 NC Primary

Addresses

Primary practice location

900 W Clairemont Ave
Eau Claire, WI 54701-6122

Mailing address

3810 Northdale Blvd
Ste 150
Tampa, FL 33624-1871
Phone (228) 376-0425

Other practice location 1

301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-0425

Other practice location 2

1901 S Hawthorne Rd Ste 220
Winston Salem, NC 27103-3914
Phone (336) 718-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111216000235 MI Practitioner - Vascular Surgery 4385819549 Reassigns benefits to 1 organization
I20151110002356 NC Practitioner - Vascular Surgery 4385819549 Reassigns benefits to 5 organizations
I20170828002460 WA Practitioner - Vascular Surgery 4385819549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Regional Medical Center IncGroup PAC ID 5294647145, 71 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Kittitas County Public Hospital Dist 1Group PAC ID 0547179608, 82 clinicians

Practice addresses (Care Compare)

1236 Huffman Mill Rd
Suite 2850
Burlington, NC 27215-8700
Phone (336) 538-7482

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Suite 104
Burlington, NC 27215-8700
Phone (336) 278-9011

1901 S Hawthorne Rd
Suite 220
Winston Salem, NC 27103-3914
Phone (336) 718-6777

611 S Chestnut St
Suite a
Ellensburg, WA 98926-4815
Phone (509) 962-7390

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230433MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 27, 2024 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Dec 12, 2024 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Aug 18, 2015 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Dec 12, 2024 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 27, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 27, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 27, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Aug 18, 2015 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2017 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Surgery CurrentSince May 15, 2023 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 3, 2015 Accepting new patients
Covenant Medical Center, Inc CurrentSince Jul 3, 2015 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Baptist Health Medical Group Inc Surgery PastSince Nov 19, 2018 Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1710 Kernersville Medical Pkwy
Ste 220
Kernersville, NC 27284
Phone (336) 564-4035

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

401 Mocksville Ave
Salisbury, NC 28144
Phone (704) 384-9568

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1714 Davie Ave
Statesville, NC 28677
Phone (704) 768-0542

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

1901 S Hawthorne Rd
Ste 220
Winston Salem, NC 27103
Phone (336) 718-6777

1901 S Hawthorne Rd
Ste 210
Winston Salem, NC 27103
Phone (336) 718-5000

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

100 E Jackson Ave
Ste 105
Ellensburg, WA 98926
Phone (509) 249-3900

611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: mesco1138257@direct.novanthealth.org

Organizations & group practices 22

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.

View all 22

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1164595310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 NORTHDALE BLVD",
            "address_2": "STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241871",
            "telephone_number": "228-376-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-717-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Hawthorne Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033914",
            "country_code": "US",
            "telephone_number": "336-718-6777",
            "fax_number": "336-718-6773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCO",
        "first_name": "MIECHIA",
        "middle_name": "ASHAWN",
        "credential": "M.D.,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "230433",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301095536",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "2015-00576",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME120203",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-00576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.