Andrew C Eisenberg, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

033957 Issued in MI

Practice address

5301 E Huron River Dr
Ste C139
Ypsilanti, MI 48197-1051

Phone

(734) 712-1000

Fax

(734) 712-3218

NPI assigned

Jun 17, 2005

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

Practice roles

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.

• Iha Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD (past)
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Ann Arbor, MI
  • NPI 1235286840
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1174528921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "STE C139",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-1000",
            "fax_number": "734-712-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "STE C139",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-1000",
            "fax_number": "734-712-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "033957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580602",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Egerer
• John C. Eggenberger, M.D.
• Deborah Eggleston, PT
• Fatima Ali Eidy, PA-C
• Gazandra Juarzetta Eiland, M.D.
• Kathryn L Eisenberg, M.S.N.,A.P.R.N-B.C.
• Susan Jean Eklund, NURSE PRACTITIONER
• Jennifer G El Aile, NP
• Zeinab M.Hamouda El Amami
• Lea El Haddad

• Hematology & Oncology Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.