Active NPI
Marc Eiseman, M.D.
- Anesthesiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 41571
- Practice address
- 945 N 12TH St
Milwaukee, WI 53233-1305 - Phone
- (414) 219-2000
- NPI assigned
- Feb 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41571 | WI | Primary |
| Family Medicine Physician | 207Q00000X | 41571 | WI |
Addresses
Primary practice location
945 N 12TH St
Milwaukee, WI 53233-1305
Mailing address
3301 W Forest Home Ave Ste 300
Milwaukee, WI 53215-2843
Phone (414) 389-2233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88567290007 | Other | WI | BC/BS |
| 32588800 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | meiseman286146@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Northwestern University Feinberg Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-7300
Hospital & facility affiliations
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41571 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Watertown Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
| Milwaukee Recovery Associates LLC | Past | Accepting new patients | |
| Prohealth Medical Group Inc. | Family Medicine | Past | Accepting new patients |
| Davis Medical Clinic, SC | Past | Accepting new patients |
Locations
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
575 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700
13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
3301 W Forest Home Ave
Ste 300
Milwaukee, WI 53215
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/9435/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
-
- Internal Medicine Physician
- Mequon, WI
- NPI 1770538100
-
- Addiction Medicine (Family Medicine) Physician
- Mequon, WI
- NPI 1245779578
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1124091855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-389-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N 12TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331305",
"telephone_number": "414-219-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISEMAN",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "41571",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "41571",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "88567290007",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32588800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "meiseman286146@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "945 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331305",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "945 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.