Es Health LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ES HEALTH LLC

Practice address

5545 Little Debie Pkwy
Ooltewah, TN 37363-4357

Phone

(423) 777-7570

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli Kim, MDNPI 1861727802

Title

Owner

Phone

(407) 451-6307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eli Yong Kim, M.D.

  • Dermatology Physician
  • Ooltewah, TN
  • NPI 1861727802
  Medicare reassignment Care Compare group NPD Authorized official
• Madison Rae Butler, NP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1235919184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1740995968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBIE PKWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634357",
            "telephone_number": "423-777-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBIE PKWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634357",
            "telephone_number": "423-777-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ES HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-451-6307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.