Individual provider Active NPI

Susan Wilson Essman, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1750469102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
106899 Issued in MO
Practice address
901 South National Avenue
Springfield, MO 65897
Phone
(417) 836-4000
Fax
(417) 836-4075
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 106899 MO Primary

Addresses

Primary practice location

901 South National Avenue
Springfield, MO 65897

Mailing address

1645 E Meadowmere St
Springfield, MO 65804
Phone (417) 862-9738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000567 MO Practitioner - Family Practice 2466478466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106899MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magers Family Health and Wellness Center Family Medicine CurrentSince Mar 1, 2009 Accepting new patients

Locations

901 S National Ave
Springfield, MO 65897
Phone (417) 836-4000

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750469102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E MEADOWMERE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-862-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SOUTH NATIONAL AVENUE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65897",
            "telephone_number": "417-836-4000",
            "fax_number": "417-836-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSMAN",
        "first_name": "SUSAN",
        "middle_name": "WILSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.