Active NPI
Howard Eisenberg, MD
- Pulmonary Disease Physician
- Fort Myers, FL
National Provider Identifier
1922070648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME66815
- Practice address
- 3680 Broadway
Fort Myers, FL 33901-8005 - Phone
- (239) 936-0380
- Fax
- (239) 936-6684
- NPI assigned
- Feb 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME66815 | FL | Primary |
Addresses
Primary practice location
3680 Broadway
Fort Myers, FL 33901-8005
Mailing address
2234 Colonial Blvd.
Attn: Payer Contracting & Relations
Fort Myers, FL 33907
Phone (239) 931-7342
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17263 | Other | FL | WELLCARE MEDICARE ONLY |
| P930720 | Other | FL | FREEDOM HEALTH |
| 249070 | Other | FL | AVMED |
| 25935 | Other | FL | BCBS FL |
| 8996323 | Other | FL | CIGNA |
| P01027501 | Other | FL | RAILROAD MCR |
| 17263 | Other | FL | WELLCARE |
| 25935 | Other | FL | BCBS |
| P929106 | Other | FL | OPTIMUM |
| 4347016 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME66815 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Vision Health Care Group Inc | Past | Accepting new patients | |
| Howard Eisenberg MD FCCP LLC | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Cape Coral, FL
- NPI 1134296361
-
- Urology Physician
- Venice, FL
- NPI 1316127152
-
- Sleep Medicine (Internal Medicine) Physician
- Fort Myers, FL
- NPI 1366599144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1922070648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD.",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 BROADWAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018005",
"telephone_number": "239-936-0380",
"fax_number": "239-936-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME66815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE ONLY",
"identifier": "17263",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P930720",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "249070",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "25935",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8996323",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P01027501",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "17263",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25935",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P929106",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4347016",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.