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Contact Information

FERNANDO ESCOBAR, MD
1680 DIAGONAL RD
WORTHINGTON, MN56187-1008
 Phone: 507-372-3800
 Fax: 507-372-3806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FERNANDO ESCOBAR · (Male)

NPI Number 1548265994
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 07/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 53694
  • SD License # 4993
  • SD Medicaid 7301830
  • SD Other 6459 AVERA HEALTH PLANS
  • SD Other 4997175 BLUE CROSS
  • SD Other 4993 DAKOTACARE
  • SD Other 22795 SIOUX VALLEY HEALTH PLAN
Hospital affiliation(s)
  • JAMESTOWN REGIONAL MEDICAL CENTER - (Critical Access)
    2422 20TH ST SW
    JAMESTOWN, ND 58401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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