Trevor F Eisaman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010735 Issued in MI

Practice address

1324 S Park St Suite #3
Kalamazoo,, MI 49001

Phone

(269) 888-2080

NPI assigned

Oct 30, 2018

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Chiro-Effect Chiropractic LLCGroup PAC ID 0749463065, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Chiro-Effect Chiropractic LLC

  • Chiropractor
  • Portage, MI
  • NPI 1528360351
  Medicare reassignment Care Compare group NPD
• Integrated Spine and Pain Center PLLC

  • Family Medicine Physician
  • Kalamazoo, MI
  • NPI 1740645381
  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1770050502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 S PARK ST STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S PARK ST SUITE #3",
            "city": "KALAMAZOO,",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-888-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISAMAN",
        "first_name": "TREVOR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Eick, MA, MLP
• Aaron David Eickhoff, MS, AT, ATC
• Patricia Eid, LLPC
• Camden Reid Eigenauer, PT, DPT
• Meghan Eilenfield
• David Michael Eisinger, MD
• Izabelle Eister
• Glenn Ekblad, D.O.
• Khaled Walid Azar El Wahab, MD
• Susan Elben

• Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.