Active NPI
Esa
- Pain Medicine (Anesthesiology) Physician
- Mesquite, TX
National Provider Identifier
1316079734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ESA
- Practice address
- 508 Woodstream PL
Mesquite, TX 75149-5874 - Phone
- (254) 694-5092
- Fax
- (254) 694-7039
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Eames, D.O.
- Title
- Owner
- Phone
- (254) 694-5092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
508 Woodstream PL
Mesquite, TX 75149-5874
Mailing address
PO Box 1108
Lancaster, TX 75146-8108
Phone (254) 694-5092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080347001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Mesquite, TX
- NPI 1972511293
-
- Pain Medicine (Anesthesiology) Physician
- Mesquite, TX
- NPI 1073521381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1316079734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751468108",
"telephone_number": "254-694-5092",
"fax_number": "254-694-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 WOODSTREAM PL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495874",
"telephone_number": "254-694-5092",
"fax_number": "254-694-7039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "EAMES",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-694-5092",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080347001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.