John M Elisberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOHN M ELISBERG, MD

Practice address

169 E North Water St
Neenah, WI 54956-2708

Phone

(920) 451-8142

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M Elisberg, MD

Title

President

Phone

(920) 451-8142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972550093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549122123",
            "telephone_number": "920-451-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E NORTH WATER ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562708",
            "telephone_number": "920-451-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M ELISBERG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELISBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-451-8142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Jares III, MD
• Eileen Jekot, MD
• Brian Douglas Jenkins, D.O.
• Dawn E. Jensen, RN
• Fredrik Jenssen
• Julie A. Johnson, O.D.
• Natalie U Johnson, DPT
• Randall Roy Johnson, MD
• Maria T Joseph, PT, DPT
• JSR Therapeutic Consulting (Advanced Counseling and Consulting Services)

• Internal Medicine Physician in Neenah, WI
• Providers in Neenah, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.