DR. MARK S ISENBERG (NPI# 1154328177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154328177 |
| Entity Type | Individual |
| Full Name | DR. MARK S ISENBERG |
| Credential | DPM |
| Practice Address |
14 W Jordan St Ste 1j Pensacola FL 32501-1734 |
| Mailing Address |
4311 Bayou Blvd Apt A8 Pensacola FL 32503-2621 |
| Practice Telephone | 8506299366 |
| Practice Fax Number | 8662589993 |
| Mailing Telephone | 7276391973 |
| Mailing Fax Number | 6625899938 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P00001247 | FL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Hickorynut Ave, Oldsmar, FL 346772017 | 7276391973 | 7277854697 |
| 4850 N 9th Ave, Pensacola, FL 325032407 | 8506299366 | 8662589993 |
| Street Address |
14 W JORDAN ST STE 1J |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629522008 | Mghmi | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2016-08-15 |
| 1629466495 | Jamaica Moss | Registered Nurse | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2015-01-02 |
| 1538557608 | Jdpremium Healthcare, LLC | Registered Nurse | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2014-12-24 |
| 1962743351 | Ladaysha L Jackson | Nurse Practitioner | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2013-03-08 |
| 1255365177 | Dr Mark Isenberg Pa | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2006-07-10 |
| 1326021635 | Norman R Mcfadden Jr. | General Practice | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447458419 | Jon A. Snellgrove Dpm Pa | Podiatrist | 6202 N. 9th Ave., Suite 4, Pensacola, FL 32504-8291 | 2007-07-11 |
| 1568541142 | T Gail Stark Dpm Pa | Podiatrist | 12385 Sorrento Rd, Suite D-4, Pensacola, FL 32507-8664 | 2006-11-03 |
| 1750460341 | T Gail Stark | Podiatrist | 11739 Chanticleer Dr, Pensacola, FL 32507-4150 | 2006-11-03 |
| 1003904467 | Joseph E Kiefer | Podiatrist | 1851 N 9th Ave., Pensacola, FL 32503-4535 | 2006-10-11 |
| 1629179973 | Mark A Lambert | Podiatrist | 4850 North Ninth Avenue, Pensacola, FL 32503 | 2006-09-26 |
| 1356303416 | James Fitzgerald Noel | Podiatrist | 2172 W Nine Mile Rd # 212, Pensacola, FL 32534-9413 | 2006-04-04 |
| 1588665830 | Scott Elliot Rickoff | Podiatrist | 2110 N Palafox St, Pensacola, FL 32501-1721 | 2005-08-09 |
| 1629517917 | Evolve Podiatry LLC | Podiatrist | 1717 N E St, 116-a, Pensacola, FL 32501-6339 | 2017-02-20 |
| 1528326725 | Jeffrey T Weiland | Podiatrist | 1717 N E St, 116a, Pensacola, FL 32501-6339 | 2012-04-25 |
| 1598954968 | Mark A Lambert | Podiatrist | 4850 N 9th Ave, Pensacola, FL 32503-2407 | 2007-10-22 |
| Find all providers in PENSACOLA | ||||
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| 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.