Provider Demographics
NPI:1336118785
Name:SCHWARTZ, ESTON JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTON
Middle Name:JAMES
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1125 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-5227
Mailing Address - Country:US
Mailing Address - Phone:573-632-4800
Mailing Address - Fax:573-632-4890
Practice Address - Street 1:1125 MADISON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-5227
Practice Address - Country:US
Practice Address - Phone:573-632-4800
Practice Address - Fax:573-632-4890
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003010044207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1336118785OtherBLUE CROSS BLUE SHIELD OF MISSOURI
1336118785OtherCOVENTRY
MO1336118785OtherMISSOURI CARE
MO1336118785OtherCIGNA
MO1336118785Medicaid
MO1336118785OtherHEALTHLINK
MO1336118785OtherMOLINA HEALTH CARE
1336118785OtherUNITED HEALTH CARE OF ALL STATES
MO1336118785OtherAETNA HEALTH PLAN
MO1336118785Medicaid