Active NPI
Melissa Gail Inga Eshelman, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1629069299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H6198
- Practice address
- 100 W Dean Keeton St
Stop A3500
Austin, TX 78712-1091 - Phone
- (512) 475-6920
- Fax
- (512) 475-9246
- NPI assigned
- Nov 2, 2005
- Last updated
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD18604 | OR | |
| Psychiatry Physician | 2084P0800X | H6198 | TX | Primary |
| Forensic Psychiatry Physician | 2084F0202X | H6198 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | H6198 | TX |
Addresses
Primary practice location
100 W Dean Keeton St
Stop A3500
Austin, TX 78712-1091
Mailing address
100 W Dean Keeton St
Stop A3500
Austin, TX 78712-1091
Phone (512) 475-6920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113865 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6198 | TX | MD | Forensic Psychiatry Physician |
| MD18604 | OR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1629069299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"address_2": "STOP A3500",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-475-6920",
"fax_number": "512-475-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"address_2": "STOP A3500",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-475-6920",
"fax_number": "512-475-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHELMAN",
"first_name": "MELISSA",
"middle_name": "GAIL INGA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD18604",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H6198",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "TX",
"license": "H6198",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "H6198",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113865",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.