Michael Eis, PHD, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

43372 Issued in WI

Practice address

N91W17271 Appleton Ave
Suite 1
Menomonee Falls, WI 53051-2045

Phone

(262) 502-3300

NPI assigned

Jan 12, 2006

Last updated

Aug 19, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Psychiatry

Education

University of Cincinnati College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of ShawanoGroup PAC ID 3779594874, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• County of Shawano

  dba Shawano County Department of Community Programs

  • Community/Behavioral Health Agency
  • Shawano, WI
  • NPI 1497896641
  Medicare reassignment Care Compare group NPD
• County of Kewaunee

  dba Kewaunee Co Dept Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewaunee, WI
  • NPI 1366431173
  Medicare reassignment NPD
• County of Menominee

  dba Menominee County Human Services

  • Public Health or Welfare Agency
  • Keshena, WI
  • NPI 1457519076
  Medicare reassignment NPD
• County of Kewaunee

  dba Kewaunee County Public Health Department

  • Public Health or Welfare Agency
  • Kewaunee, WI
  • NPI 1710909775
  NPD
• County of Menominee

  dba Menominee County Human Services

  • Home Health Agency
  • Keshena, WI
  • NPI 1922153535
  NPD
• County of Menominee

  dba Menominee County Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keshena, WI
  • NPI 1922161926
  NPD
• County of Shawano

  dba Shawano County Health Department

  • State or Local Public Health Clinic/Center
  • Shawano, WI
  • NPI 1174716385
  NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  NPD (past)
• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1689653214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON STREET",
            "address_2": "SUITE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952003",
            "telephone_number": "262-335-4583",
            "fax_number": "262-335-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N91W17271 APPLETON AVE",
            "address_2": "SUITE 1",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512045",
            "telephone_number": "262-502-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIS",
        "first_name": "MICHAEL",
        "credential": "PHD, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "43372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34115600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Egert, PT
• Pam M Ehrlich, LPN
• Peter Jospeh Eichenseer, M.D.
• Sheila Eichenseer
• Patricia Ann Eichhorn, PT
• Abedrazik Hashim Eisa, M.D.
• Brittany Eison, RN
• Carol Ann Idso Eling, NP
• Elite Wellness Center
• Elizabeths Loving Care

• Psychiatry Physician in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.