Individual provider Active NPI

Clara Emilia Escuder, MD

  • Pediatrics Physician
  • Wilmington, NC
National Provider Identifier
1871522151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD426435 Issued in PA
Practice address
3505 Converse Dr Ste 200
Wilmington, NC 28403-6132
Phone
(717) 812-3040
Fax
(717) 812-3049
NPI assigned
Jun 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

LicenseStateTypeSpecialty
2014-01689NCMDPediatrics Physician
MD426435PAMDPediatrics 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": [],
    "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.

Verify at the official NPI Registry.