NPIMap

Individual provider Active NPI

Daniel C Eisner, PA

  • Physician Assistant
  • Belcamp, MD
National Provider Identifier
1023070224
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002493 Issued in MD
Practice address
103 Bata Blvd Ste a
Belcamp, MD 21017-1420
Phone
(410) 575-6611
NPI assigned
Apr 4, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0012091 DE
Physician Assistant 363A00000X C0002493 MD Primary

Addresses

Primary practice location

103 Bata Blvd Ste a
Belcamp, MD 21017-1420

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (804) 968-5700

Other practice location 1

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Other practice location 2

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Other practice location 3

5900 Cedar Ln
Columbia, MD 21044-3635
Phone (443) 718-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040517001560 MD Practitioner - Physician Assistant 5395735658 Reassigns benefits to 2 organizations
I20050426000328 DC Practitioner - Physician Assistant 5395735658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0012091DEMDPhysician Assistant
C0002493MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Health, LLC CurrentSince Jan 1, 2005 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Mar 1, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 12, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc. Physician Assistant CurrentSince Mar 4, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Jan 12, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1023070224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BATA BLVD STE A",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171420",
            "telephone_number": "410-575-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443635",
            "country_code": "US",
            "telephone_number": "443-718-4067",
            "fax_number": "443-718-4068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISNER",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012091",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

Verify at the official NPI Registry.