Active NPI
David Edward Eisenhauer, D.O.
- Orthopaedic Surgery Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2017043630
- Practice address
- 100 Mercy Way Ste 430
Joplin, MO 64804-4524 - Phone
- (417) 556-8757
- Fax
- (417) 556-8758
- NPI assigned
- Jun 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 76704 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 4402 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | DO1632 | NV | |
| Orthopaedic Surgery Physician | 207X00000X | OS11124 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 20A11979 | CA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 2017043630 | MO | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | DO1632 | NV | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 20A11979 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 2017043630 | MO | Primary |
Addresses
Primary practice location
100 Mercy Way Ste 430
Joplin, MO 64804-4524
Mailing address
100 Mercy Way Ste 430
Joplin, MO 64804-4524
Phone (417) 556-8757
Other practice location 1
9576 Highway 70
Minocqua, WI 54548-9067
Phone (715) 358-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14A69 | Other | FL | BC/BS |
| 003190200 | Medicaid | FL | |
| 9308573 | Other | FL | AETNA |
| 9410607 | Other | FL | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, OK, CO, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
430 Mercy Clinic Joplin Orthopedics
Joplin, MO 64804-4524
Phone (417) 556-2278
1121 Neo Loop
Mercy Clinic Orthopedics Grove
Grove, OK 74344-6046
Phone (877) 783-4441
444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441
9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710
Hospital & facility affiliations
- Mercy Specialty Hospital Southeast Kansas
- Marshfield Medical Center - Minocqua
- Mercy Hospital Pittsburg, Inc
- Mercy Hospital Joplin
- Flambeau Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11979 | CA | MD | Orthopaedic Surgery Physician |
| DO1632 | NV | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Upper San Juan Health Service District | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Upper San Juan Health Service District | Current | Accepting new patients |
Locations
95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700
444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231
100 Mercy Way
Ste 430
Joplin, MO 64804
Phone (417) 556-2278
100 Mercy Way
#430
Joplin, MO 64804
Phone (417) 556-2278
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2550 Lusk Dr
Neosho, MO 64850
Phone (417) 451-2060
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000
Interoperability endpoints
- david.eisenhauer@marshfieldclinichealthsystem.cernerdirect.com
- deisenhauer971752@directc.mercy.net
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1245401561
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1659523058
-
- Emergency Medicine Physician
- Carthage, MO
- NPI 1477822567
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
-
- Special Hospital
- Galena, KS
- NPI 1992341473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1720281330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY STE 430",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-8757",
"fax_number": "417-556-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY STE 430",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-8757",
"fax_number": "417-556-8758"
}
],
"practiceLocations": [
{
"address_1": "9576 Highway 70",
"address_purpose": "LOCATION",
"city": "Minocqua",
"state": "WI",
"postal_code": "545489067",
"country_code": "US",
"telephone_number": "715-358-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISENHAUER",
"first_name": "DAVID",
"middle_name": "EDWARD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-10",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "76704",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "4402",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "DO1632",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS11124",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A11979",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MO",
"license": "2017043630",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NV",
"license": "DO1632",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "20A11979",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2017043630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "14A69",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003190200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9308573",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9410607",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "9576 Highway 70",
"city": "Minocqua",
"state": "WI",
"country_code": "US",
"postal_code": "545489067",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.