ESGUERRA MEDICAL PRACTICE INC. NPI 1720256068

NPI Information

NPI: 1720256068
Provider Name: ESGUERRA MEDICAL PRACTICE, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D0879286

Address:
2125 E STATE HIGHWAY 54
LINTON, IN
ZIP 47441
Phone: (812) 847-8711
Get Directions

ESGUERRA MEDICAL PRACTICE, INC. is a family medicine in Linton, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ESGUERRA MEDICAL PRACTICE, INC. NPI is 1720256068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2125 E STATE HIGHWAY 54
LINTON, IN
ZIP 47441-407
Phone: (812) 847-8711
Fax: (812) 847-8793

The provider's authorized official is Paul R Esguerra .
The authorized official title is Owner and has the following contact phone number (812) 847-8711.

The CLIA number assigned to this NPI record is 15D0879286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 12/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		01039089	INDIANA	Yes
2	207QA0000X	Family Medicine	Adolescent Medicine	01039089	INDIANA	No
3	207QA0401X	Family Medicine	Addiction Medicine	01039089	INDIANA	No
4	207QA0505X	Family Medicine	Adult Medicine	01039089	INDIANA	No
5	207QG0300X	Family Medicine	Geriatric Medicine	01039089	INDIANA	No
6	207QS0010X	Family Medicine	Sports Medicine	01039089	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100125020A	MEDICAID	INDIANA
2	000000089459	OTHER	INDIANA	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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