Individual provider Active NPI

Mark I. Eisenfeld, MD

  • Anesthesiology Physician
  • Sunrise, FL
National Provider Identifier
1407016462
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME109658 Issued in FL
Practice address
1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone
(954) 838-2371
Fax
(954) 851-1746
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME109658 FL Primary

Addresses

Primary practice location

1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2853

Mailing address

1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone (954) 838-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000255 FL Practitioner - Anesthesiology 2668641267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

3650 NW 82ND Ave
101 The Surgery Center at Doral
Doral, FL 33166-6662
Phone (305) 341-7280

7431 Gladiolus Dr
Fort Myers, FL 33908-5122
Phone (239) 689-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Aug 8, 2011 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Valant Anesthesia Services LLC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
East Fort Lauderdale ASC LLC Current Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Aug 8, 2011 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

1925 NE 45th St
Ft Lauderdale, FL 33308
Phone (386) 263-3020

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

5065 S State Road 7
Ste 101
Lake Worth, FL 33449
Phone (561) 273-2340

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1407016462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NORTH HARRISON PARKWAY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 NORTH HARRISON PARKWAY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENFELD",
        "first_name": "MARK",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME109658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.