Active NPI
Thomas F. Essman, MD
- Ophthalmology Physician
- Joplin, MO
National Provider Identifier
1366584344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 106707
- Practice address
- 1703 W 30TH St Ste B
Joplin, MO 64804-1519 - Phone
- (174) 781-2616
- Fax
- (417) 781-2934
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 106707 | MO | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 106707 | MO |
Addresses
Primary practice location
1703 W 30TH St Ste B
Joplin, MO 64804-1519
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207707704 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100715000450 | MO | Practitioner - Ophthalmology | 2567594245 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1703 W 30TH St
Suite B
Joplin, MO 64804-1519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106707 | MO | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramesh R Shah, .M.D, P.C. | Ophthalmology | Current | Accepting new patients |
| Sjmgroup | Past | Accepting new patients |
Locations
1703 W 30th St
Ste B
Joplin, MO 64804
Phone (417) 781-2616
Interoperability endpoints
- tessman738@directb.mercy.net
- thomas.essman@cernerdirect.coxhealth.com
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.
-
- Ophthalmology Physician
- Joplin, MO
- NPI 1477717460
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1366584344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658012580",
"telephone_number": "417-829-4620",
"fax_number": "417-829-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 W 30TH ST STE B",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041519",
"telephone_number": "174-781-2616",
"fax_number": "417-781-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSMAN",
"first_name": "THOMAS",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "106707",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MO",
"license": "106707",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207707704",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.