Osama S. Eisa, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18213 Issued in AL

Practice address

832 Princeton Ave SW
Birmingham, AL 35211-1320

Phone

(205) 206-8461

Fax

(205) 206-8363

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1457365785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8461",
            "fax_number": "205-206-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISA",
        "first_name": "OSAMA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "510-30063",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030063",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Eichinger, MS
• Christopher A Eidson, OTR
• Cecil Morgan Eiland, M.D.
• Marjorie Yessick Eiland, CPNP
• Susan Horton Eiland, M.D.
• Julianna Nicole Eisele
• Nicholas James Eisele, DO
• George Van Eisenhart, M.D.
• Yamile El Ghannam Ruisanchez
• Husameddin El Khudari

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.