Stuart Eisenberg, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

016650 Issued in ME

Practice address

15 Hospital Dr
Bridgton, ME 04009-1156

Phone

(207) 647-6240

Fax

(207) 647-6223

NPI assigned

Jan 25, 2006

Last updated

Aug 17, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casco Bay Endoscopy

  • Ambulatory Surgical Clinic/Center
  • South Portland, ME
  • NPI 1538139001
  NPD (past)
• Casco Bay Gastroenterology LLC

  • Gastroenterology Physician
  • South Portland, ME
  • NPI 1972579241
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1619947249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-6240",
            "fax_number": "207-641-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-6240",
            "fax_number": "207-647-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "016650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Donatelli, LCPC
• Kayla Rey Dubois, DPT
• Jacqueline Marie Dubord, CPM, NHCM
• Olivia Ducasse, ND
• Derek M Eagan, D.C.
• Leslie Ann Elston, DMD
• Edward Enos, NP
• Heidi Beth Fillmore, CPM
• John J Flanagan, LCPC
• Brittany Brown Flanders, OTR/L

• Gastroenterology Physician in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.