Individual provider Active NPI

Marc Eskin, DO

  • Anesthesiology Physician
  • Memphis, TN
National Provider Identifier
1780609008
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D01266 Issued in TN
Practice address
1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800
Phone
(901) 682-6828
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D01266 TN Primary

Addresses

Primary practice location

1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800

Mailing address

PO Box 171181
Memphis, TN 38187-1181
Phone (901) 682-2872

Other identifiers 5

IdentifierTypeStateIssuer
3097678OtherTNBLUE CROSS
2040504OtherTNUNITED HEALTHCARE
3305499MedicaidTN
050067173OtherRR MEDICARE
00120741OtherMSMS MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000155 TN Practitioner - Anesthesiology 4486826401 Reassigns benefits to 1 organization
I20210525000183 MS Practitioner - Anesthesiology 4486826401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Memphis Anesthesia Services PLCGroup PAC ID 1850386038, 26 clinicians

Practice addresses (Care Compare)

7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D01266TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Anesthesia Services LLC CurrentSince Jan 15, 2025 Accepting new patients
East Memphis Anesthesia Services, PLLC Current Accepting new patients

Locations

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1780609008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171181",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381871181",
            "telephone_number": "901-682-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-682-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKIN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "D01266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3097678",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2040504",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305499",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050067173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS MEDICAID",
            "identifier": "00120741",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.