Individual provider Active NPI

David Edward Eisenhauer, D.O.

  • Orthopaedic Surgery Physician
  • Joplin, MO
National Provider Identifier
1720281330
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2017043630 Issued in MO
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

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14A69OtherFLBC/BS
003190200MedicaidFL
9308573OtherFLAETNA
9410607OtherFLCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK, CO, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180117002931 MO Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2668652371 Reassigns benefits to 2 organizations
I20200731001540 KS Practitioner - Orthopedic Surgery 2668652371 Reassigns benefits to 1 organization
I20210331001379 OK Practitioner - Orthopedic Surgery 2668652371 Reassigns benefits to 1 organization
I20211201000696 CO Practitioner - Orthopedic Surgery 2668652371 Reassigns benefits to 2 organizations
I20220316001016 WI Practitioner - Orthopedic Surgery 2668652371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11979CAMDOrthopaedic Surgery Physician
DO1632NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Aug 5, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince May 4, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 28, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince May 4, 2022 Accepting new patients
Upper San Juan Health Service District CurrentSince Jan 17, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 28, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 28, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 16, 2018 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Aug 1, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 16, 2018 Accepting new patients
Upper San Juan Health Service District CurrentSince Jul 1, 2025 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

  • Direct secure messaging: david.eisenhauer@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: deisenhauer971752@directc.mercy.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.