Larry Steven Eisenfeld, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME0040040 Issued in FL

Practice address

12670 Creekside Lane
Ste 202
Ft Myers, FL 33919-8759

Phone

(239) 482-2663

Fax

(239) 482-3106

NPI assigned

Jan 25, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1164492823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LANE",
            "address_2": "SUITE 202",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339198759",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LANE",
            "address_2": "STE 202",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339198759",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENFELD",
        "first_name": "LARRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME0040040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1164492823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald G Eidens, PT
• Shari Marie Eischens
• Heidi M Eisele
• Eric Scott Eisenberg, PA-C
• Howard Eisenberg, MD
• Obinna Peter Ejimonyeugwo, MD
• Josie Ekholm Brown, SLP
• Sophia El Hamichi, MD
• Peter Raouf El Masry, M.D.
• Ashraf N El-Dabh, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.