Organization Active NPI

Eisman & Eisman MD PA

  • Cardiovascular Disease Physician
  • Aventura, FL
National Provider Identifier
1235150996
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0015832 Issued in FL
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Eugene Herbert Eisman, MDNPI 1134172364
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007698322OtherFLAETNA
677143OtherFLUNITED HEALTH CARE
1492299OtherFLCIGNA
CK3012OtherFLRAILROAD MEDICARE
00159OtherFLBLUE CROSS BLUE SHIELD
129800414874OtherFLHUMANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060901000222 FL Part B Supplier - Clinic/Group Practice 9739183831 Receives reassigned benefits from 2 practitioners
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.