Active NPI
Robin P Farias-Eisner, MD
- Gynecologic Oncology Physician
- Omaha, NE
National Provider Identifier
1396776688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 31633
- Practice address
- 7710 Mercy Rd Ste 1000
Omaha, NE 68124-2323 - Phone
- (402) 717-3010
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 31633 | NE | |
| Gynecologic Oncology Physician | 207VX0201X | A43641 | CA | |
| Gynecologic Oncology Physician | 207VX0201X | 31633 | NE | Primary |
Addresses
Primary practice location
7710 Mercy Rd Ste 1000
Omaha, NE 68124-2323
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
200 Medical Plaza
Suite 430
Los Angeles, CA 90095-0001
Phone (310) 794-7274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A43641 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43641 | CA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | Accepting new patients | |
| California Cancer Specialists Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- robin.farias-eisner.1@23757.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1396776688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 MERCY RD STE 1000",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242323",
"telephone_number": "402-717-3010"
}
],
"practiceLocations": [
{
"address_1": "200 Medical Plaza",
"address_2": "Suite 430",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-794-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARIAS-EISNER",
"first_name": "ROBIN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "31633",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "A43641",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NE",
"license": "31633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A43641",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.