Provider Demographics
NPI:1801851175
Name:ESSAY, PHILLIP E (MD)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:E
Last Name:ESSAY
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 1:7121 STEPHANIE LN STE 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5352
Mailing Address - Country:US
Mailing Address - Phone:706-632-7429
Mailing Address - Fax:970-342-2093
Practice Address - Street 1:7121 STEPHANIE LN STE 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5352
Practice Address - Country:US
Practice Address - Phone:402-413-5010
Practice Address - Fax:402-413-5009
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18859207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1002517520Medicaid
NE1002517520Medicaid
NE278288Medicare ID - Type Unspecified