DR. IRIS EISENBERG (NPI# 1326046350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326046350 |
Entity Type | Individual |
Full Name | DR. IRIS EISENBERG |
Credential | MD |
Practice Address |
11521 N Main St Jacksonville FL 32218-4002 |
Practice Telephone | 9047519491 |
Practice Fax Number | 9047519492 |
Mailing Telephone | 9047519491 |
Mailing Fax Number | 9047519492 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2012-06-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME32409 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | DEA | AE8026406 | 01 |
Street Address |
11521 N MAIN ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-4002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
1487755567 | Charles Richardson Martin | Pediatrics | 2 Dewitt St, Jacksonville, NC 28540-5649 | 2006-09-25 |
1336252444 | Charles B. Mcintosh | Pediatrics | 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 | 2006-08-16 |
1922091156 | Anne T Egan | Pediatrics | 2121 Park St, Jacksonville, FL 32204-3811 | 2005-08-23 |
1568856698 | Afton Turner | Pediatrics | 4788 Hodges Blvd Ste B108, Jacksonville, FL 32224-7222 | 2015-03-26 |
1316385164 | Rainbow Pediatric Center | Pediatrics | 4788 Hodges Blvd, Suite B-108, Jacksonville, FL 32224-7222 | 2013-06-13 |
1043456148 | Rachna A Krish | Pediatrics | 13241 Bartram Park Blvd, Suite # 209, Jacksonville, FL 32258-5212 | 2008-12-20 |
1043346745 | Jacksonville Pediatrics | Pediatrics | 2606 Park St, Jacksonville, FL 32204-4520 | 2007-02-26 |
1609925387 | Erica Tarbox | Pediatrics | 3945 San Jose Park Dr, Jacksonville, FL 32217-4612 | 2007-01-10 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
Please comment or provide details below to improve the information on DR. IRIS EISENBERG.
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.