Provider Demographics
NPI:1952482010
Name:ESKER, PAUL J (CRNA)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:ESKER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 EASTERN BYP
Mailing Address - Street 2:BUILDING 1, SUITE 2A
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2415
Mailing Address - Country:US
Mailing Address - Phone:859-624-1879
Mailing Address - Fax:859-625-3171
Practice Address - Street 1:801 EASTERN BYPASS
Practice Address - Street 2:PATTIE A CLAY HOSPITAL
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-624-1879
Practice Address - Fax:859-625-3171
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1029774367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74008616Medicaid
KY74008616Medicaid
KYCR00052Medicare ID - Type UnspecifiedGROUP 8074
KYP19594Medicare UPIN