Provider Demographics
NPI:1780609008
Name:ESKIN, MARC (DO)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:ESKIN
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:PO BOX 171181
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38187-1181
Mailing Address - Country:US
Mailing Address - Phone:901-682-2872
Mailing Address - Fax:
Practice Address - Street 1:1068 CRESTHAVEN RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0800
Practice Address - Country:US
Practice Address - Phone:901-682-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND01266207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3097678OtherBLUE CROSS
TN2040504OtherUNITED HEALTHCARE
TN3305499Medicaid
050067173OtherRR MEDICARE
MS00120741OtherMS MEDICAID
TN3305499Medicaid
050067173OtherRR MEDICARE
TN2040504OtherUNITED HEALTHCARE
TN000000139718OtherBETTER HEALTH
050067173OtherRR MEDICARE