Provider Demographics
NPI:1104672849
Name:ESP MEDICAL BILH LLC
Entity type:Organization
Organization Name:ESP MEDICAL BILH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-271-5157
Mailing Address - Street 1:11 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1029
Mailing Address - Country:US
Mailing Address - Phone:508-271-5157
Mailing Address - Fax:
Practice Address - Street 1:830 OAK ST STE 102W
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1168
Practice Address - Country:US
Practice Address - Phone:508-521-9259
Practice Address - Fax:844-823-0453
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESP MEDICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11075068Medicaid