Provider Demographics
NPI:1699707075
Name:ESWAY, JAN-ERIC (MD)
Entity type:Individual
Prefix:
First Name:JAN-ERIC
Middle Name:
Last Name:ESWAY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 SPOTSYLVANIA PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9435
Mailing Address - Country:US
Mailing Address - Phone:540-834-5448
Mailing Address - Fax:855-673-2058
Practice Address - Street 1:4701 SPOTSYLVANIA PKWY STE 203
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-9435
Practice Address - Country:US
Practice Address - Phone:540-834-5448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243150207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1699707075Medicaid
TXCS4290OtherRAILROAD MEDICARE
VAP00615737OtherRAILROAD MEDICARE
VA0472640015Medicare NSC
VAP00615737OtherRAILROAD MEDICARE
TX0349690001Medicare NSC
TXCS4290OtherRAILROAD MEDICARE
TX8G9791Medicare PIN
VA017113W25Medicare PIN