Active NPI
Pamela Eisenberg
- Specialist
- Annapolis, MD
National Provider Identifier
1174743793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17589
- Practice address
- 190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365 - Phone
- (410) 571-6411
- Fax
- (410) 571-6415
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 17589 | Primary |
Addresses
Primary practice location
190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365
Mailing address
513 Overbrook Rd
Baltimore, MD 21212-2102
Phone (410) 337-4962
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Neurological Rehabilitation LLC | 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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Annapolis, MD
- NPI 1912952888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174743793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 OVERBROOK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122102",
"telephone_number": "410-337-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ADMIRAL COCHRANE DR",
"address_2": "SUITE 180",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017365",
"telephone_number": "410-571-6411",
"fax_number": "410-571-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "17589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, 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.