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NPI Code Detail

MEDICARE: EAST MEMPHIS ANESTHESIA SERVICES PLC

MEDICARE: EAST MEMPHIS ANESTHESIA SERVICES PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CA8885OTHERRAILROAD

General Provider Information

NPI Number : 1578592663
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST MEMPHIS ANESTHESIA SERVICES PLC
Provider Business Mailing Address
First Line : PO BOX 171181
Second Line :
City : MEMPHIS
State : TN
Zip : 38187-1181
Country : US
Telephone Number : 901-682-6828
Fax Number : 901-682-9316
Provider Business Practice Location Address
First Line : 5545 MURRAY AVE STE 130
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3861
Country : US
Telephone Number : 901-682-2872
Fax Number :
Authorized Official
Title or Position : CHIEF MANAGER
Name : MARC ESKIN
Credential : DO
Telephone Number : 901-682-2872
Provider Enumeration Date : 07/01/2006
Last Update Date : 04/28/2021

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Directions to “EAST MEMPHIS ANESTHESIA SERVICES PLC ” Practice Location

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