Provider Demographics
NPI:1982609384
Name:ESCH, JOHN G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:ESCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2507
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-2507
Mailing Address - Country:US
Mailing Address - Phone:417-781-2807
Mailing Address - Fax:417-781-3309
Practice Address - Street 1:3105 MCCLELLAND BLVD
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1640
Practice Address - Country:US
Practice Address - Phone:417-781-2807
Practice Address - Fax:417-781-3309
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR8470207X00000X
KS0416043207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100195260AMedicaid
MO200652808Medicaid
MO620652404Medicaid
A27872Medicare UPIN
MO620652404Medicaid
KS045910Medicare ID - Type Unspecified
003010353Medicare ID - Type Unspecified
MO200022638Medicare ID - Type UnspecifiedRAILROAD MEDICARE
KS200036548Medicare ID - Type UnspecifiedKS RAILROAD MEDICARE