Provider Demographics
NPI:1538157292
Name:ESMAY, DAVID KENT (CRNA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KENT
Last Name:ESMAY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:48 POLLARD STREET
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-1326
Mailing Address - Country:US
Mailing Address - Phone:603-447-5273
Mailing Address - Fax:
Practice Address - Street 1:3073 WHITE MTN HWY
Practice Address - Street 2:THE MEMORIAL HOSP/ANESTHESIA DEPT
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5111
Practice Address - Country:US
Practice Address - Phone:603-356-5467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH052508-23-11367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA7698OtherINDIVIDULE WAUSAU INSU
NHAA7698OtherINDIVIDULE HARVARD
NH30342668Medicaid
NH693984OtherWHITE MOUNTAIN ANESTHESIA
NHNI1207OtherWHITE MOUNTAIN ANESTHESIA
NH50Y152300MA01OtherWHITE MOUNTAIN ANESTHESIA
NHNI1535OtherINDIVIDULE ACS HEALTH
NH40Y005380NH01OtherBC/BS
NHAA7698OtherINDIVIDULE WAUSAU INSU
NH693984OtherWHITE MOUNTAIN ANESTHESIA
NHCK4308Medicare ID - Type UnspecifiedWHITE MOUNTAIN ANESTHESIA