Active NPI
Karla S Eisele, M.D.
- Psychiatry Physician
- Orofino, ID
National Provider Identifier
1124194105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M9656
- Practice address
- 300 Hospital Dr
Orofino, ID 83544-9034 - Phone
- (208) 476-4511
- Fax
- (208) 476-7898
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M9656 | ID | Primary |
Addresses
Primary practice location
300 Hospital Dr
Orofino, ID 83544-9034
Mailing address
300 Hospital Dr
Orofino, ID 83544-9034
Phone (208) 476-4511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9656 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Idaho Department of Health and Welfare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba State Hospital North
- Psychiatric Hospital
- Orofino, ID
- NPI 1598831653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124194105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "OROFINO",
"state": "ID",
"postal_code": "835449034",
"telephone_number": "208-476-4511",
"fax_number": "208-476-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "OROFINO",
"state": "ID",
"postal_code": "835449034",
"telephone_number": "208-476-4511",
"fax_number": "208-476-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISELE",
"first_name": "KARLA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M9656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orofino, ID
- Adam C Dayley, O.D.
- Joanne Evelyn Deyo, LCSW
- Discover Chiropractic Group PLLC
- Dr James Said Chiropractic and Naturopathic Physician Inc
- Sarah Dupea, LMSW
- Family Eye Care of Orofino, P.a. (Family Eye Care)
- George Earl Fiegel, D.C.
- Fraun Flerchinger, M.D.
- Douglas L Frank, RPH
- Shelly Frances Frayser, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.