Organization Active NPI

Dr Mark Isenberg PA

  • Podiatrist
  • Pensacola, FL
National Provider Identifier
1255365177
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0001247 Issued in FL
Legal business name
DR MARK ISENBERG PA
Practice address
6109 N Davis Hwy
Pensacola, FL 32504-6949
Phone
(850) 741-2251
Fax
(866) 258-9993
NPI assigned
Jul 10, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mark S Isenberg, DPMTTNPI 1154328177
Title
President
Phone
(727) 639-1973

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO0001247 FL Primary

Addresses

Primary practice location

6109 N Davis Hwy
Pensacola, FL 32504-6949

Mailing address

4311 Bayou Blvd Apt A8
Pensacola, FL 32503-2621
Phone (727) 639-1973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000504 FL Part B Supplier - Clinic/Group Practice 5991718215 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

21948 NW County Road 333
Bristol, FL 32321
Phone (850) 643-3223

1619 Monroe Sheffield Rd
Chipley, FL 32428

230 Fern Park Blvd
Fern Park, FL 32730
Phone (407) 331-7231

141 Barks Dr
Fort Walton Beach, FL 32547
Phone (850) 225-2985

2000 Principal Ln
Fort Walton Beach, FL 32547
Phone (850) 243-7735

5500 Stewart St
Milton, FL 32570
Phone (850) 983-5500

5530 Northrop Rd
Milton, FL 32570
Phone (850) 384-8969

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

104 Dogwood Dr
Pensacola, FL 32505
Phone (850) 453-7177

14 W Jordan St
Ste 1J
Pensacola, FL 32501
Phone (850) 432-9023

1435 W Jordan St
Pensacola, FL 32501
Phone (850) 469-3590

1900 N Palafox St
Pensacola, FL 32501
Phone (850) 469-3500

536 Selina St
Pensacola, FL 32503
Phone (850) 477-6318

5308 Martin Ln
Tampa, FL 33617

3732 Roche Ave
Vernon, FL 32462
Phone (850) 535-1160

4488 Highway 79
Vernon, FL 32462
Phone (850) 478-9051

Practitioners & affiliated clinicians

Practitioners 8

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": "1704240000000",
    "number": "1255365177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 BAYOU BLVD APT A8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032621",
            "telephone_number": "727-639-1973",
            "fax_number": "866-258-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-741-2251",
            "fax_number": "866-258-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK ISENBERG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "ISENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-639-1973",
        "authorized_official_credential": "DPMTT"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.