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1538157292

NPI Code Detail

MEDICARE: MR. DAVID KENT ESMAY CRNA

MEDICARE: MR. DAVID KENT ESMAY CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	052508-23-11	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA7698	OTHER	NH	INDIVIDULE WAUSAU INSU
2	AA7698	OTHER	NH	INDIVIDULE HARVARD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	693984	OTHER	NH	WHITE MOUNTAIN ANESTHESIA
5	NI1207	OTHER	NH	WHITE MOUNTAIN ANESTHESIA
6	50Y152300MA01	OTHER	NH	WHITE MOUNTAIN ANESTHESIA
7	NI1535	OTHER	NH	INDIVIDULE ACS HEALTH
8	40Y005380NH01	OTHER	NH	BC/BS

General Provider Information

NPI Number	:	1538157292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID KENT ESMAY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 1326
Second Line	:	48 POLLARD STREET
City	:	CONWAY
State	:	NH
Zip	:	03818-1326
Country	:	US
Telephone Number	:	603-447-5273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3073 WHITE MTN HWY
Second Line	:	THE MEMORIAL HOSP/ANESTHESIA DEPT
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-5111
Country	:	US
Telephone Number	:	603-356-5467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	07/09/2007

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Directions to “ MR. DAVID KENT ESMAY CRNA” Practice Location

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