Individual provider Active NPI

Russell Jason Eshman, D.C.

  • Chiropractor
  • Irwin, PA
National Provider Identifier
1669640975
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009993 Issued in PA
Practice address
511 Saddle Ridge Dr
Irwin, PA 15642-9204
Phone
(412) 779-0773
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009993 PA Primary

Addresses

Primary practice location

511 Saddle Ridge Dr
Irwin, PA 15642-9204

Mailing address

511 Saddle Ridge Dr
Irwin, PA 15642-9204
Phone (412) 779-0773

Other practice location 1

600 Oak St
Irwin, PA 15642-3528
Phone (724) 863-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000391 PA Practitioner - Chiropractic 5092849752 Reassigns benefits to 1 organization
Practice locations: Irwin, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eshman Chiropractic Clinic LLCGroup PAC ID 7315335890, 2 clinicians

Practice addresses (Care Compare)

11599 Pkwy Dr
Irwin, PA 15642-2061
Phone (724) 382-4982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009993PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eshman Chiropractic Clinic, LLC Chiropractor CurrentSince Dec 20, 2020 Accepting new patients

Locations

11599 Parkway Dr
North Huntingdon, PA 15642
Phone (724) 382-4982

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1669640975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SADDLE RIDGE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429204",
            "telephone_number": "412-779-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SADDLE RIDGE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429204",
            "telephone_number": "412-779-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Oak St",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156423528",
            "country_code": "US",
            "telephone_number": "724-863-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESHMAN",
        "first_name": "RUSSELL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.