Dorcas Poni Eshun, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22132 Issued in MS

Practice address

800 Ohio Ave
Clarksdale, MS 38614-7200

Phone

(662) 624-2504

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dorcaseshun@amggw.allscriptsdirect.net

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.

• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568
  Medicare reassignment NPD

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1295088854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUTTERNUT LN",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114235",
            "telephone_number": "347-471-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OHIO AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147200",
            "telephone_number": "662-624-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHUN",
        "first_name": "DORCAS",
        "middle_name": "PONI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Earl
• Ron M Earl, M.S., L.S.W.
• Dallas Maxwell Earnest, FNP
• Economy Drugs of Clarksdale, Inc
• Ceclia Ellington, MSW
• Crystal Evans, MSW
• Lucy Evans, M.ED.
• Family First Clinic of Clarksdale, PLLC
• Fast Pace Mississippi, PLLC
• Christopher Ferracci, FNP

• Pediatrics Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.