Provider Demographics
NPI:1659453363
Name:ESSAD, JAMES M (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:ESSAD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 NORTHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1156
Mailing Address - Country:US
Mailing Address - Phone:330-533-3558
Mailing Address - Fax:
Practice Address - Street 1:180 NORTHVIEW RD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1156
Practice Address - Country:US
Practice Address - Phone:330-533-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340021562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE00721Medicare UPIN