Individual
SAMUEL J ESSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEMORIAL DR, ALTON MEMORIAL HOSPITAL, ALTON, IL 62002-6722
(618) 463-7415
(314) 821-2180
Mailing address
55 WESTPORT PLAZA DRIVE, SUITE 300, ST LOUIS, MO 63146
(314) 548-4772
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036084761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006021895
IL BLUE
—
05
—
0360847611
—
IL
01
—
136331
BLUE CHOICE
—
01
—
1390
MO BLUE
—
01
—
1600001
PH PLAN
—
01
—
225826
HLINK
—
01
—
2781
GHP
—
01
—
300066
HLT PART
—
01
—
300066972
RR MEDICARE
—
01
—
300066977
RR MEDICARE
—
01
—
300066982
RR MEDICARE
—
01
—
431725842MID
MERCY
—
01
—
46033
HCARE USA
—
01
—
F42701
GATEWAY
—
Enumeration date
08/08/2006
Last updated
04/09/2010
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