Active NPI
Jeffrey Louis Eisman, DC
- Orthopedic Chiropractor
- Detroit, MI
National Provider Identifier
1609900802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- JE004022
- Practice address
- 17401 Greenfield
Detroit, MI 48235 - Phone
- (313) 837-3300
- Fax
- (313) 837-5550
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | JE004022 | MI | Primary |
| Orthopedic Chiropractor | 111NX0800X | CH3403 | FL |
Addresses
Primary practice location
17401 Greenfield
Detroit, MI 48235
Mailing address
17401 Greenfield
Detroit, MI 48235
Phone (313) 837-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95OH222000 | Other | MI | BCBS |
| 1348177 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100622000859 | MI | Practitioner - Chiropractic | 3678604469 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17401 Greenfield Rd
Detroit, MI 48235-3700
Phone (313) 837-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3403 | FL | MD | Orthopedic Chiropractor |
| JE004022 | MI | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisman Clinic PC | Orthopedic | Current | Accepting new patients |
Locations
17401 Greenfield Rd
Detroit, MI 48235
Phone (313) 837-3300
Organizations & group practices 1
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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1609900802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17401 GREENFIELD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-837-3300",
"fax_number": "313-837-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17401 GREENFIELD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-837-3300",
"fax_number": "313-837-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISMAN",
"first_name": "JEFFREY",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MI",
"license": "JE004022",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "FL",
"license": "CH3403",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "95OH222000",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1348177",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.