Individual
JAIME ESCANELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
57 BEAM LN STE 205, FISHERSVILLE, VA 22939-2350
(434) 243-7121
(434) 243-7122
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101050866
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060023151
RAILROAD MEDICARE
VA
01
—
086691
ANTHEM BC/BS
VA
01
—
2180457
FIRST HEALTH
—
05
—
6010105
—
VA
01
—
90364
SOUTHERN HEALTH
VA
Enumeration date
12/29/2005
Last updated
08/09/2023
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