Eliezer Moshe Izsak, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME36693 Issued in FL

Practice address

425 S 11TH St Ste 1
Lake Wales, FL 33853-4239

Phone

(863) 679-9494

Fax

(863) 679-8866

NPI assigned

Sep 21, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eliezer.izsak.3@1593.direct.athenahealth.com
• Direct secure messaging: eliezer.izsak.1@1593.direct.athenahealth.com

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.

• Digestive Diseases Care for All LLC

  • Gastroenterology Physician
  • Lakeland, FL
  • NPI 1346484565
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Comprehensive Psychiatric Associates LLC

  • Psychiatry Physician
  • Lakeland, FL
  • NPI 1457714834
  NPD (past)
• Izsak & Lamport,MD,PA

  • Gastroenterology Physician
  • Lakeland, FL
  • NPI 1154410272
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1740389261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST STE 1",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-679-9494",
            "fax_number": "863-679-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST STE 1",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-679-9494",
            "fax_number": "863-679-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZSAK",
        "first_name": "ELIEZER",
        "middle_name": "MOSHE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME36693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred I Howard III, MD
• Robert Keith Hulen III
• Te Hui Hung
• Mia Apolo Hunt
• Internal Medicine Institute
• Hope Jackson
• Jahna Chiropractic, LLC
• Marcus Anthony Jahna, D.C.
• James D. Morgan, MD, PA
• David Jantz, LAT, ATC, PES, CES

• Gastroenterology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.