Healthcare Provider Details

I. General information

NPI: 1710181375
Provider Name (Legal Business Name): DANA LYNN ESHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HEALTH DR
CHILLICOTHEE OH
45601-8604
US

IV. Provider business mailing address

9800 SHELBYVILLE RD STE 220
LOUISVILLE KY
40223-2992
US

V. Phone/Fax

Practice location:
  • Phone: 800-999-1249
  • Fax: 614-846-6504
Mailing address:
  • Phone: 800-999-1249
  • Fax: 614-846-6504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP1-0026317
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35.098519
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: