Active NPI
Clara Emilia Escuder, MD
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1871522151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD426435
- Practice address
- 3505 Converse Dr Ste 200
Wilmington, NC 28403-6132 - Phone
- (717) 812-3040
- Fax
- (717) 812-3049
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2014-01689 | NC | |
| Pediatrics Physician | 208000000X | MD426435 | PA | Primary |
Addresses
Primary practice location
3505 Converse Dr Ste 200
Wilmington, NC 28403-6132
Mailing address
5617 Ramsey St
Fayetteville, NC 28311-1423
Phone (910) 483-7337
Other practice location 1
14057 US Highway 17 N Ste 220
Hampstead, NC 28443-3779
Phone (910) 270-3673
Other practice location 2
1035 Grandiflora Dr Ste 102
Leland, NC 28451-7453
Phone (910) 371-3212
Other identifiers 25
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456143 | Other | PA | HIGHMARK BLUE SHIELD |
| 20046323 | Other | PA | AH MERCY-WMG RATHTON RD |
| 319515 | Other | NC | MEDCOST LLC |
| 1154757 | Other | NC | UNITED HEALTHCARE |
| 4067311 | Other | NC | AETNA HEALTH PLANS |
| P006384 | Other | PA | GATEWAY-WMG |
| 015130 | Other | PA | JOHNS HOPKINS |
| 101404671 | Medicaid | PA | |
| 1871522151 | Other | NC | HEALTHGRAM |
| 100446 | Other | PA | GEISINGER |
| 167539 | Other | PA | UNISON-WMG |
| 1871522151 | Medicaid | NC | |
| 2136736 | Other | PA | MAMSI-WMG |
| 4067311 | Other | PA | AETNA |
| 1871522151 | Other | NC | HEALTHNET FEDERAL SERVICES / TRICARE NORTH |
| 1871522151 | Other | NC | HEALTHSMART |
| 20046324 | Other | PA | AH MERCY-WMG WINDSOR RD |
| 4469931 | Other | NC | CIGNA |
| 50049455 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 62700790 | Other | NC | PHCS/MULTIPLAN |
| 670048 | Other | NC | COVENTRY/1ST HEALTH |
| FH1102210 | Other | NC | FIRST CAROLINA CARE |
| 1871522151 | Other | NC | HUMANA |
| 19MQB | Other | NC | BCBS OF NC |
| 350783 | Other | MD | CAREFIRST MD BCBS |
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 |
|---|---|---|---|
| 2014-01689 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871522151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111423",
"telephone_number": "910-483-7337",
"fax_number": "910-483-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 CONVERSE DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036132",
"telephone_number": "717-812-3040",
"fax_number": "717-812-3049"
}
],
"practiceLocations": [
{
"address_1": "14057 US Highway 17 N Ste 220",
"address_purpose": "LOCATION",
"city": "Hampstead",
"state": "NC",
"postal_code": "284433779",
"country_code": "US",
"telephone_number": "910-270-3673",
"fax_number": "910-270-0529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Grandiflora Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "284517453",
"country_code": "US",
"telephone_number": "910-371-3212",
"fax_number": "910-371-3210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESCUDER",
"first_name": "CLARA",
"middle_name": "EMILIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2014-01689",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD426435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1456143",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG RATHTON RD",
"identifier": "20046323",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST LLC",
"identifier": "319515",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1154757",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "4067311",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P006384",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "015130",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101404671",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHGRAM",
"identifier": "1871522151",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "100446",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "167539",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871522151",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "2136736",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4067311",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET FEDERAL SERVICES / TRICARE NORTH",
"identifier": "1871522151",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "1871522151",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG WINDSOR RD",
"identifier": "20046324",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4469931",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50049455",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS/MULTIPLAN",
"identifier": "62700790",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY/1ST HEALTH",
"identifier": "670048",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1102210",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1871522151",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19MQB",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "350783",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.