ESHAN MICHAEL SAMUEL (NPI# 1164831186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164831186 |
| Entity Type | Individual |
| Full Name | ESHAN MICHAEL SAMUEL |
| Credential | M.D. |
| Practice Address |
400 N 9th St Springfield IL 62702-5310 |
| Mailing Address |
201 E Madison St Ste 300 Springfield IL 62702-5131 |
| Practice Telephone | 2175458000 |
| Mailing Telephone | 2175453787 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
036-151007 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
400 N 9TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063484814 | Norman Y Otsuka | Orthopaedic Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-02-06 |
| 1215551320 | Jennifer Inness | Social Worker | 400 N 9th St, Springfield, IL 62702-5310 | 2020-06-04 |
| 1588287841 | Laila Mahmoud Hashim | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2020-05-21 |
| 1710527908 | Sydney J Sullivan | Nurse Practitioner | 400 N 9th St, Springfield, IL 62702-5310 | 2020-01-15 |
| 1669997383 | Trisha Schulte | Occupational Therapist | 400 N 9th St, Springfield, IL 62702-5310 | 2017-08-03 |
| 1376920645 | Jennifer Davis | Dietitian, Registered | 400 N 9th St, Springfield, IL 62769-1000 | 2015-05-06 |
| 1447686415 | Lamya Mubayed | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2013-09-22 |
| 1336395904 | Carlos F Sanchez -glanville | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2008-08-14 |
| 1871766493 | Troy L. Spilde | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2008-04-03 |
| 1114034352 | Ahmed G. Mami | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467691329 | Wael N. Sayej | Pediatrics | 50 Wason Ave Fl 1, Springfield, MA 01107-1280 | 2009-02-16 |
| 1265413009 | Anastasios G Angelides | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2005-11-09 |
| 1356652606 | Abhishek Watts | Pediatrics | 1965 S Fremont Ave, Suite 220, Springfield, MO 65804-2201 | 2010-07-01 |
| 1164733093 | Pediatric Gastroenterology and Nutrition Group, P.C. | Pediatrics | 3640 Main St, Suite 204, Springfield, MA 01107-1145 | 2010-06-25 |
| 1861620841 | Sarita Singhal | Pediatrics | 50 Wason Ave, Springfield, MA 01107-1274 | 2009-06-29 |
| 1841425568 | Prashanth Porayette | Pediatrics | 301 N 8th St, Suite Pav 4a, Springfield, IL 62701-1041 | 2009-05-26 |
| 1679629869 | Jody Nathaniel Hefner | Pediatrics | 3525 S National Ave Ste 210, Springfield, MO 65807 | 2007-01-28 |
| 1255354593 | Susan Pamela Goode | Pediatrics | 3640 Main St, Suite 204, Springfield, MA 01107-1145 | 2006-07-26 |
| 1356316715 | Zahangir Khaled | Pediatrics | 301 N 8th St, Suite Pav 4a, Springfield, IL 62701-1041 | 2006-02-21 |
| 1457333726 | Barry Zev Hirsch | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2005-11-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.