ELIZABETH B EISENBEIS (NPI# 1366761918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366761918 |
| Entity Type | Individual |
| Full Name | ELIZABETH B EISENBEIS |
| Credential | PA-C |
| Practice Address |
251 N Bayou St Mobile AL 36603-5827 |
| Mailing Address |
Po Box 2867 Mobile AL 36652-2867 |
| Practice Telephone | 2516908894 |
| Practice Fax Number | 2515442188 |
| Mailing Telephone | 2516908894 |
| Mailing Fax Number | 2515442188 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 704 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE GROUP NUMBER | 011846 | 01 |
| AL | 630000013 | 05 | |
| AL | NPI SITE GROUP PAYEE NUMBER | 1063439065 | 01 |
| Street Address |
251 N BAYOU ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425310 | Constance D Cooper | Obstetrics & Gynecology | 251 N Bayou St, Mobile, AL 36603-5827 | 2005-05-23 |
| 1427669449 | Janelle N Davis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2020-08-13 |
| 1841853496 | Misty Guy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-04-19 |
| 1629534656 | Mason Alexander Wade | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-02-14 |
| 1508351297 | Jeri Dean Jones | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-06-26 |
| 1629568308 | Emily Gurganus Hay | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-17 |
| 1518456052 | Betty Biggs | Social Worker | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1992294433 | Dominique Kimble | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1790291128 | Claris Leigh Feibelman | Dietitian, Registered | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-21 |
| 1528573573 | Victoria King Kennedy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1669657896 | James M Lawrence | Family Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2008-01-07 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1851356760 | Gail Anita Luker | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile Center Franklin Primary Health Center Inc, Mobile, AL 36603 | 2006-04-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 1588291785 | Lakendra Chevoyn Wiley | Physician Assistant | 320 Stanton Rd Apt 235, Mobile, AL 36617-2449 | 2020-03-26 |
| 1053958785 | Courtney Teal Schmerbauch | Physician Assistant | 3715 Dauphin St Ste 1100, Mobile, AL 36608-1785 | 2019-12-02 |
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1699296145 | Jessica A Kantrales | Physician Assistant | 101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787 | 2017-07-05 |
| 1730572835 | Allison Hinson | Physician Assistant | 600 Clinic Dr Ste 332, Mobile, AL 36688-0001 | 2015-03-13 |
| 1467701474 | Angela Dugger | Physician Assistant | 610 Providence Park Dr E Ste 102, Mobile, AL 36695-4618 | 2012-09-05 |
| 1598775330 | Myrtle Olivia Stephens | Physician Assistant | 117 Mohawk St, Mobile, AL 36606-1941 | 2006-08-08 |
| 1063488153 | Diane Dixon Abercrombie | Physician Assistant | 307 University Blvd., Hsb Suite 1200, Mobile, AL 36688-0001 | 2006-02-27 |
| Find all providers in MOBILE | ||||
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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.