RICHARD D EISER


Address: 111 17th Ave E, Alexandria, MN 56308-3703
Phone: 3207626040

RICHARD D EISER (NPI# 1144221698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144221698
Entity Type Individual
Full Name RICHARD D EISER
Credential M.D.
Practice Address 111 17th Ave E
Alexandria
MN 56308-3703
Mailing Address 5775 Wayzata Blvd
Suite 400
St Louis Park
MN 55416-1222
Practice Telephone 3207626040
Practice Fax Number 3207626038
Mailing Telephone 3207626040
Mailing Fax Number 3207626038
Enumeration Date 2005-08-09
Last Update Date 2011-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
21290 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN RAILROAD MEDICARE 300049999 01
MN HEALTH PARTNERS HP38535 01
MN UCARE OF MINNESOTA 111010C561 01
MN MEDICA 16-06657 01
MN TRICARE 411772562 01
MN GREATWEST HEALTHCARE 411772562 01
MN ARAZ/ AMERICA'S PPO 595986 01
MN PREFERRED ONE 965251000597 01
MN 328598700 05
MN BLUE CROSS BLUE SHIELD 60158EI 01

Office Location

Street Address 111 17TH AVE E
City ALEXANDRIA
State MN
Zip Code 56308-3703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424305 Douglas County Hospital General Acute Care Hospital 111 17th Ave E, Alexandria, MN 56308-3703 2005-06-01
1679047013 Kayla Hughes Nurse Anesthetist, Certified Registered 111 17th Ave E, Alexandria, MN 56308-5273 2019-01-18
1750776530 Benjamin Andrew Kitt Emergency Medicine 111 17th Ave E, Alexandria, MN 56308-5273 2015-03-30
1760873491 Amanda Kristine Nefstead Specialist/Technologist 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 2015-02-17
1558767483 Samantha Bourcy Specialist/Technologist 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 2014-11-04
1083029490 Amanda Leigh Knettel Physical Therapist 111 17th Ave E, Alexandria, MN 56308-5273 2014-06-24
1538573613 Dane Jason Mitteness Emergency Medicine 111 17th Ave E, Alexandria, MN 56308-5273 2014-06-17
1013334572 Meghan Ruhr Registered Nurse 111 17th Ave E, Alexandria, MN 56308-5273 2014-03-23
1598196149 Heidi Stark Specialist/Technologist 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 2013-12-09
1396174330 Michael James Kunstle Physician Assistant 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 2013-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104836 Center for Pain Management Ambulatory Surgery, Ltd Pain Medicine 804 23rd Street South, Sartell, MN 56308 2020-08-13
1548815590 Ritajo Ellenberger Licensed Practical Nurse 220 Oak Street North, Alexandria, MN 56308 2019-08-06
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1811452048 Little Falls Eye Care Center Pa Optometrist 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 2019-02-01
1184167199 Jennifer Lynn Craig Technician 2307 East Golf Course Rd, Alexandria, MN 56308 2016-11-22
1548712219 Shelby Elisha Johnsrud Chiropractor 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 2016-10-28
1811347867 Dustin Matthew Ditch Dentist 510 22nd Ave E Ste 702, Alexandria, MN 56308 2016-06-20
1639538051 West Central Chiropractic & Wellness, LLC Chiropractor 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 2016-02-12
1659736221 Amanda Jean Dahlseng Registered Nurse 809 Elm Street, Suite 1200, Alexandria, MN 56308 2015-12-23
1518358886 Benjamin G Wenzel Marriage & Family Therapist 512 30th Ave S, Ste 100, Alexandria, MN 56308 2015-02-09
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235423054 Michael Lloyd Doxey Radiology 801 S Royal St, Alexandria, VA 22314-4340 2011-06-09
1902063761 Renee Denise Wyatt Radiology 5064 Kilburn St, Alexandria, VA 22304-7766 2008-05-20
1306021407 Devin Kendrick Tighe Radiology 3704 North Blvd Ste 1, Alexandria, LA 71301-3658 2008-01-08
1285786665 Hospital Imaging Co Inc Radiology 7200 Alexandria Pike, Alexandria, KY 41001-1036 2007-01-17
1629129655 Ultrasound Associates Radiology 5055 Seminary Rd Ste 104, Alexandria, VA 22311-2026 2007-01-16
1790716280 Medical Scanning Consultants Pa Radiology 1527 Broadway Street, Alexandria, MN 56308 2006-07-05
1578509410 Medical Scanning Consultants Pa Radiology 111 17th Avenue East, Alexandria, MN 56308 2006-06-21
1417931650 William Patrick O'grady Radiology 3720 Seminary Rd, Alexandria, VA 22304-5203 2005-12-01
1336582519 Ali Alikhani Radiology 4320 Seminary Rd, Alexandria, VA 22304 2013-04-08
1659628154 Vijay J Nayak Radiology 4320 Seminary Rd, Alexandria, VA 22304-1535 2012-08-14
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Competitor

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City ALEXANDRIA
Zip Code 56308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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