Organization Active NPI

Paul D. Isenberg, M.D. Inc.

  • Allergy & Immunology Physician
  • Indianapolis, IN
National Provider Identifier
1083895916
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
PAUL D. ISENBERG, M.D. INC.
Practice address
1340 E. County Line Rd.
Suite T
Indianapolis, IN 46227
Phone
(317) 887-7715
Fax
(317) 887-7695
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Paul D. Isenberg, M.D.
Title
Owner/Physician
Phone
(317) 887-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1340 E. County Line Rd.
Suite T
Indianapolis, IN 46227

Mailing address

1340 E. County Line Rd.
Suite T
Indianapolis, IN 46227
Phone (317) 887-7715

National Provider Directory

National Provider Directory

Locations

8937 Southpointe Dr
Ste C2
Indianapolis, IN 46227
Phone (317) 215-4580

1340 E County Line Rd
Ste T
Indianapolis, IN 46227
Phone (317) 887-7691

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1083895916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E. COUNTY LINE RD.",
            "address_2": "SUITE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "317-887-7715",
            "fax_number": "317-887-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E. COUNTY LINE RD.",
            "address_2": "SUITE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "317-887-7715",
            "fax_number": "317-887-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. ISENBERG, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "ISENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-887-7715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.