Provider Demographics
NPI:1710078548
Name:ESSIG, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:ESSIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8051
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43702-8051
Mailing Address - Country:US
Mailing Address - Phone:740-453-2770
Mailing Address - Fax:740-453-2717
Practice Address - Street 1:716 ADAIR AVE
Practice Address - Street 2:MUSKINGUM VALLEY HEALTH CENTERS
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2836
Practice Address - Country:US
Practice Address - Phone:740-453-2770
Practice Address - Fax:740-453-2717
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35038458207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0631749Medicaid
OH0467763Medicare PIN
OHES0467762Medicare ID - Type Unspecified
OH0631749Medicaid