Wesley Estock, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TPA0029 Issued in MS

Practice address

830 S Gloster St
Tupelo, MS 38801-4934

Phone

(662) 377-3000

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wesleyestock@nmhs.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment
• Relias Hospitalist Medicine Specialists of Pontotoc LLC

  • Hospitalist Physician
  • Pontotoc, MS
  • NPI 1972189330
  Medicare reassignment
• Webster Health Services, Inc.

  dba Webster General Hospital

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Medicare reassignment
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Webster Health Services, Inc.

  dba Eupora Primary Care Clinic

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1821881913
  NPD
• Webster Health Services, Inc.

  dba Eupora Primary Care

  • Rural Health Clinic/Center
  • Eupora, MS
  • NPI 1851729214
  NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1548628522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOCK",
        "first_name": "WESLEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "TPA0029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jai Wayne Eschete, OTR/L
• Angela Estes
• Carolyn Estes, NP
• John Murray Estess Jr., MD
• Jennifer G. Estock, WHNP-BC, ANP-C
• Angeline Estoque
• Eterna Primary Care of Mississippi LLC
• Audrey Dale Ethridge, PMHNP-BC, MSN
• Travis A Eubanks, DO
• Breanna Evans, PMHNP-BC

• Physician Assistant in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.