Provider Demographics
NPI:1215902507
Name:ESSIG, MICHAEL J (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:ESSIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:309 SMITHFIELD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2229
Mailing Address - Country:US
Mailing Address - Phone:412-471-2111
Mailing Address - Fax:412-471-7282
Practice Address - Street 1:309 SMITHFIELD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2229
Practice Address - Country:US
Practice Address - Phone:412-471-2111
Practice Address - Fax:412-471-7282
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-03-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD038836E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01-11-2856Medicaid
PA01-11-2856Medicaid
PA447730ZA4RMedicare UPIN