Provider Demographics
NPI:1801844832
Name:ESSEL, ADWOA (MD)
Entity Type:Individual
Prefix:
First Name:ADWOA
Middle Name:
Last Name:ESSEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431797207U00000X, 207U00000X, 207UN0901X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2788242OtherUNITEDHEALTHCARE
PA003006OtherFIRST PRIORITY HEALTH
PA7646925OtherAETNA
PA1965434OtherHIGHMARK BLUE SHIELD
PA821761OtherFIRST PRIORITY HEALTH
PA1019185760001Medicaid
PAI49906OtherHEALTHAMERICA
PAI49906OtherHEALTHAMERICA
PA821761OtherFIRST PRIORITY HEALTH
PA1965434OtherHIGHMARK BLUE SHIELD