Active NPI
Eisman & Eisman MD PA
- Cardiovascular Disease Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0015832
- Legal business name
- EISMAN & EISMAN MD PA
- Practice address
- 17971 Biscayne Blvd Ste 208
Aventura, FL 33160 - Phone
- (305) 932-7814
- Fax
- (305) 466-9051
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Herbert Eisman, MD
- Title
- President
- Phone
- (305) 932-7814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0015831 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME0015832 | FL | Primary |
Addresses
Primary practice location
17971 Biscayne Blvd Ste 208
Aventura, FL 33160
Mailing address
17971 Biscayne Blvd Ste 208
Aventura, FL 33160-2532
Phone (305) 932-7814
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007698322 | Other | FL | AETNA |
| 677143 | Other | FL | UNITED HEALTH CARE |
| 1492299 | Other | FL | CIGNA |
| CK3012 | Other | FL | RAILROAD MEDICARE |
| 00159 | Other | FL | BLUE CROSS BLUE SHIELD |
| 129800414874 | Other | FL | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17971 Biscayne Blvd
Ste 208
Aventura, FL 33160
Phone (305) 931-0555
2785 NE 183rd St
Ste 200
Aventura, FL 33160
Phone (305) 932-7814
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Cardiovascular Disease Physician
- Aventura, FL
- NPI 1134172364
-
- Family Medicine Physician
- Aventura, FL
- NPI 1861445041
-
- Clinical Social Worker
- Aventura, FL
- NPI 1063544088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1235150996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17971 BISCAYNE BLVD STE 208",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602532",
"telephone_number": "305-932-7814",
"fax_number": "305-466-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17971 BISCAYNE BLVD STE 208",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33160",
"telephone_number": "305-932-7814",
"fax_number": "305-466-9051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EISMAN & EISMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "EISMAN",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "HERBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-932-7814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0015831",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0015832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007698322",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "677143",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1492299",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK3012",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00159",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "129800414874",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.