Active NPI
Lawrence F. Eisinger, MD
- Pediatrics Physician
- Fergus Falls, MN
National Provider Identifier
1124049564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23513
- Practice address
- 712 South Cascade Street
Fergus Falls, MN 56537-2813 - Phone
- (218) 736-8000
- Fax
- (218) 736-8757
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23513 | MN | Primary |
Addresses
Primary practice location
712 South Cascade Street
Fergus Falls, MN 56537-2813
Mailing address
712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone (218) 736-8000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCMA7610129 | Medicaid | AK | |
| 61166EI | Other | MN | BCBS NUMBER |
| HP26507 | Other | MN | HEALTHPARTNERS NUMBER |
| 114376 | Other | MN | UCARE NUMBER |
| 41091744413 | Medicaid | NE | |
| 10717 | Medicaid | ND | |
| 4109174445353701 | Medicaid | IL | |
| 0561449 | Medicaid | IA | |
| 733892900 | Medicaid | MN | |
| 1008969 | Other | MN | PREFERRED ONE NUMBER |
| 12-00187 | Other | MN | MEDICA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1124049564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-736-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-736-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISINGER",
"first_name": "LAWRENCE",
"middle_name": "F.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "23513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NCMA7610129",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "61166EI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS NUMBER",
"identifier": "HP26507",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE NUMBER",
"identifier": "114376",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41091744413",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10717",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4109174445353701",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0561449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "733892900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE NUMBER",
"identifier": "1008969",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA NUMBER",
"identifier": "12-00187",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.