NPIMap

Organization Active NPI

Eisenman & Eisenman,M.D.,LLC

  • Gastroenterology Physician
  • Lake Worth, FL
National Provider Identifier
1225062243
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
EISENMAN & EISENMAN,M.D.,LLC
Practice address
5065 State Rd 7
Suite 201
Lake Worth, FL 33449-4615
Phone
(561) 753-7487
Fax
(561) 753-8161
NPI assigned
Jul 10, 2006
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mrs. Kim M Rathfelder
Title
Billing MGR
Phone
(561) 753-7487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X FL Primary

Addresses

Primary practice location

5065 State Rd 7
Suite 201
Lake Worth, FL 33449-4615

Mailing address

5065 State Road 7
Suite 201
Lake Worth, FL 33449-4615
Phone (561) 753-7487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000270 FL Part B Supplier - Clinic/Group Practice 9335162700 Receives reassigned benefits from 7 practitioners
Practice locations: Clewiston, FL; Lake Worth, FL

National Provider Directory

National Provider Directory

Locations

5065 S State Road 7
Ste 201
Lake Worth, FL 33449
Phone (561) 753-7487

10131 Forest Hill Blvd
Ste 100A
Wellington, FL 33414
Phone (561) 753-7487

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1225062243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 STATE RD 7",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENMAN & EISENMAN,M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "RATHFELDER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "561-753-7487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.