Ted Brubaker Eshbach, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD016688E Issued in PA

Practice address

761 Johnsonburg Rd
Suite 310
St Marys, PA 15857-3483

Phone

(814) 834-1686

Fax

(814) 834-6291

NPI assigned

Nov 8, 2005

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1447231378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 310",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-834-1686",
            "fax_number": "814-834-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 310",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-834-1686",
            "fax_number": "814-834-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHBACH",
        "first_name": "TED",
        "middle_name": "BRUBAKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD016688E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00820642",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.