Provider Demographics
NPI:1942282827
Name:ESCHER, ALLAN R (DO)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:R
Last Name:ESCHER
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 1:21035 LAKE VIENNA DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8312
Mailing Address - Country:US
Mailing Address - Phone:813-745-8486
Mailing Address - Fax:813-979-3064
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:WCB, 2ND FLOOR/ANESTHESIA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-8486
Practice Address - Fax:813-979-3064
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8446207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264485100Medicaid
FL17059OtherBCBS
FL74524OtherMEDICARE GROUP NUMBER
FL17059COtherMEDICARE PTAN
P00134660OtherRAILROAD MEDICARE
FL74524OtherMEDICARE GROUP NUMBER