Individual provider Active NPI

Jorge V Esguerra, MD

  • Diagnostic Radiology Physician
  • Canton, OH
National Provider Identifier
1700877446
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35 04 1992E Issued in OH
Practice address
2600 6TH St SW
Radiology Associates of Canton, Inc.
Canton, OH 44711
Phone
(330) 363-2842
Fax
(330) 580-5536
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
35 04 1922EOHMDNeuroradiology Physician
35 04 1992EOHMDDiagnostic Radiology Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 35 04 1922E OH
Diagnostic Radiology Physician 2085R0202X 35 04 1992E OH Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 6TH St SW
Radiology Associates of Canton, Inc.
Canton, OH 44711

Mailing address

P.O. Box 72384
Radiology Associates of Canton, Inc.
Cleveland, OH 44192
Phone (888) 686-1837

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0434122MedicaidOH
300074577OtherOHRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2010.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1700877446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72384",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44192",
            "telephone_number": "888-686-1837",
            "fax_number": "330-686-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44711",
            "telephone_number": "330-363-2842",
            "fax_number": "330-580-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESGUERRA",
        "first_name": "JORGE",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35 04 1922E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35 04 1992E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434122",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300074577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.