Provider Demographics
NPI:1356332332
Name:ESBER, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:ESBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:570 WHITE POND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4205
Mailing Address - Country:US
Mailing Address - Phone:330-869-0124
Mailing Address - Fax:330-869-2852
Practice Address - Street 1:570 WHITE POND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4205
Practice Address - Country:US
Practice Address - Phone:330-869-0124
Practice Address - Fax:330-869-2852
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35061904E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH101783OtherKAISER
OH341296621OtherCHAMPUS
OH341296621COtherSUMMACARE
OH730006OtherBUCKEYE MEDICAID
OH000000129698OtherBCBS
OH0847525Medicaid
OH2900382OtherUHC
OH341296621028OtherCARESOURCE
OH35061904EOtherLICENSE
OH8444976OtherAETNA
OH34129662100OtherCAREWORKS
OH100007070OtherRAILROAD MEDICARE
OHBE2872477OtherDEA
OHES0704064Medicare ID - Type UnspecifiedMEDICARE
OH730006OtherBUCKEYE MEDICAID