Active NPI
Henry William Eisenberg, M.D.
- Surgery Physician
- Mayfield HTS, OH
National Provider Identifier
1417040635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35031988
- Practice address
- 6770 Mayfield Road
#325
Mayfield HTS., OH 44124 - Phone
- (440) 460-2880
- Fax
- (440) 460-2881
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35031988 | OH | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 35031988 | OH |
Addresses
Primary practice location
6770 Mayfield Road
#325
Mayfield HTS., OH 44124
Mailing address
17 Laurel Hill Lane
Pepper Pike, OH 44124
Phone (440) 460-2880
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35031988 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417040635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LAUREL HILL LANE",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-460-2880",
"fax_number": "440-460-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 MAYFIELD ROAD",
"address_2": "#325",
"city": "MAYFIELD HTS.",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-460-2880",
"fax_number": "440-460-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "HENRY",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35031988",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35031988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.