Active NPI
Jorge V Esguerra, MD
- Diagnostic Radiology Physician
- Canton, OH
National Provider Identifier
1700877446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35 04 1992E
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35 04 1922E | OH | MD | Neuroradiology Physician |
| 35 04 1992E | OH | MD | Diagnostic Radiology Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 35 04 1922E | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35 04 1992E | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434122 | Medicaid | OH | |
| 300074577 | Other | OH | RAILROAD 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.