Active NPI
Gail L. Eisenhauer, M.D.
- Psychiatry Physician
- Little Rock, AR
National Provider Identifier
1710946264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C-5565
- Practice address
- 4301 W Markham St # 568
Little Rock, AR 72205-7101 - Phone
- (501) 526-8200
- Fax
- (501) 526-8299
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H3027 | TX | |
| Psychiatry Physician | 2084P0800X | C-5565 | AR | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C-5565 | AR |
Addresses
Primary practice location
4301 W Markham St # 568
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 568
Little Rock, AR 72205-7101
Phone (501) 526-8200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87437Y | Other | TX | BLUE SHIELD |
| 1280034-01 | Medicaid | TX | |
| 260045289 | Other | TX | RR/MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3027 | TX | MD | Psychiatry Physician |
| C-5565 | AR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1710946264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 568",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-526-8200",
"fax_number": "501-526-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 568",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-526-8200",
"fax_number": "501-526-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENHAUER",
"first_name": "GAIL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H3027",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "C-5565",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AR",
"license": "C-5565",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "87437Y",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1280034-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "260045289",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.