Individual provider Active NPI

Amy V Isenberg, M.D., MPH

  • Anesthesiology Physician
  • Wilmington, NC
National Provider Identifier
1629292776
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200300249 Issued in NC
Practice address
2520 Independence Blvd Ste 200
Wilmington, NC 28412-2482
Phone
(910) 442-1100
Fax
(910) 442-1199
NPI assigned
Apr 12, 2007
Last updated
May 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 200300249 NC Primary

Addresses

Primary practice location

2520 Independence Blvd Ste 200
Wilmington, NC 28412-2482

Mailing address

1602 Physicians Dr Ste 104
Wilmington, NC 28401-7350
Phone (910) 442-1100

Other identifiers 4

IdentifierTypeStateIssuer
5907212MedicaidNC
2021613DOtherNCMEDICARE PTAN
2021613AOtherNCMEDICARE ID
2021613BOtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040211000564 NC Practitioner - Anesthesiology 6103710058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Brody School of Medicine at East Carolina University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000

9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0249NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jan 5, 2010 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology Current Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Feb 1, 2011 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Feb 1, 2011 Accepting new patients
Ochsner Eye, PA Past Accepting new patients
American Anesthesiology of the Carolinas, P.C. Anesthesiology Past Accepting new patients
Onslow Anesthesia Associates, PA Anesthesiology Past Accepting new patients
Wilmington Anesthesiologists PLLC Anesthesiology Past Accepting new patients

Locations

1168 E Cutlar Crossing
Ste 101
Leland, NC 28451
Phone (910) 332-1550

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100

510 Carolina Bay Dr
Ste 100
Wilmington, NC 28403
Phone (910) 338-0795

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

Interoperability endpoints

  • Direct secure messaging: aisenberg1247525@direct.novanthealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1629292776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PHYSICIANS DR STE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017350",
            "telephone_number": "910-442-1100",
            "fax_number": "910-442-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 INDEPENDENCE BLVD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122482",
            "telephone_number": "910-442-1100",
            "fax_number": "910-442-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "AMY",
        "middle_name": "V",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200300249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907212",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2021613D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2021613A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2021613B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.