Individual provider Active NPI

Eugene E Isaac, P.A.-C

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1265755425
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000808 Issued in DE
Practice address
424 Savannah Rd
Lewes, DE 19958-1462
Phone
(302) 645-3300
NPI assigned
Mar 2, 2010
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000808 DE Primary

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958-1462

Mailing address

18943 Goldfinch CV
Rehoboth Beach, DE 19971-4462
Phone (410) 963-6984

Other practice location 1

540 S Governors Ave Ste 101A
Dover, DE 19904-3530
Phone (302) 744-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100429000475 MD Practitioner - Physician Assistant 5193852895 Reassigns benefits to 1 organization
I20130205000370 DE Practitioner - Physician Assistant 5193852895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

431 Savannah Rd
Lewes, DE 19958-1460
Phone (302) 644-4282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000808DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Apr 18, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 15, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Apr 18, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 15, 2024 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

540 S Governors Ave
Ste 101A
Dover, DE 19904
Phone (302) 744-7980

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
Fl 3
Dover, DE 19901

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

Interoperability endpoints

  • Direct secure messaging: eisaac171419@direct.aahs.org
  • Direct secure messaging: eisaac22806@beebehealth.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1265755425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18943 GOLDFINCH CV",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714462",
            "telephone_number": "410-963-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 S Governors Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043530",
            "country_code": "US",
            "telephone_number": "302-744-7980",
            "fax_number": "302-744-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "EUGENE",
        "middle_name": "E",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.