Paul H Eisenberg, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

001670 Issued in OH

Practice address

9485 Mentor Ave
Ste 200
Mentor, OH 44060-8723

Phone

(440) 205-5878

Fax

(440) 375-8830

NPI assigned

Jun 16, 2005

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 3

Other names 1

• Dr. Paul H Eisenberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1750386629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE",
            "address_2": "STE 200",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608723",
            "telephone_number": "440-205-5878",
            "fax_number": "440-375-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE",
            "address_2": "STE 200",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608723",
            "telephone_number": "440-205-5878",
            "fax_number": "440-375-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "001670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245363",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE LAKEWOO",
            "identifier": "480031301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE BEREA",
            "identifier": "480014163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "EISENBERG",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "DPM, INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Renea Edwards, QBHS
• Kristen Eichorn, MD
• Gregory Alan Eippert, MD
• Kelly Eippert, RPH
• Danielle Eisenberg, LISW
• Ashley Marie El-Khoury, LPCC
• Kari L Elam
• Elizabeth B Wyatt PHD Inc
• Ellen L. Ellsworth, OD Inc
• Clay Ellenwood, PA-C

• Foot Surgery Podiatrist in Mentor, OH
• Providers in Mentor, OH by specialty
• Foot Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.