Richard E. Eisenman, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0064516 Issued in FL

Practice address

5065 State Road 7
Suite 201
Lake Worth, FL 33449-4615

Phone

(561) 753-7487

Fax

(561) 753-8161

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Gastroenterology

Education

Jefferson Medical College of Thomas Jefferson University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eisenman and Eisenman M.D.,LLCGroup PAC ID 9335162700, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eisenman & Eisenman,M.D.,LLC

  • Gastroenterology Physician
  • Lake Worth, FL
  • NPI 1225062243
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1932107323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0064516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374484100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "23494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Ray Edwards, PH.D.
• Effective Physical Therapy Inc
• Lucrecia Eichmann
• Eisenman & Eisenman,M.D.,LLC
• Jesse H. Eisenman, MD
• Penelope Sue Elam, MAPT, CLT
• Stephen Wayne Elam, MPT, CLT
• Julia Eldean
• Eldercare at Home, Inc.
• Amos Vladimir Elien Jr.

• Gastroenterology Physician in Lake Worth, FL
• Providers in Lake Worth, 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 20, 2012; 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.
• 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.