Paul Emanuel Eisele, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

014735 Issued in GA

Practice address

1511 Longleaf Dr
Thomasville, GA 31792-7360

Phone

(229) 226-9505

Fax

(229) 228-9505

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659577385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 LONGLEAF DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927360",
            "telephone_number": "229-226-9505",
            "fax_number": "229-228-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 LONGLEAF DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927360",
            "telephone_number": "229-226-9505",
            "fax_number": "229-228-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELE",
        "first_name": "PAUL",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "014735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja P Dunbar
• Jennifer W Dunn, L.M.F.T.
• Earl Douglas Crew Jr OD
• Katherine Love Edelen, PA-C
• Thomas E Edwards III, MD
• William Allen Elkins, PHARM D.
• Ellington Eyecare PLLC
• Christopher Ellis, NP-C
• William W Ellis, MD
• Elizabeth Ann Emanuel, LDO

• Anatomic Pathology & Clinical Pathology Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.