DR. LESLIE ALLAN EISNER (NPI# 1629090683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629090683 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ALLAN EISNER |
| Credential | M.D. |
| Practice Address |
20940 N Tatum Blvd Suite 370 Phoenix AZ 85050-4265 |
| Mailing Address |
20940 N Tatum Blvd Ste 370 Phoenix AZ 85050-7244 |
| Practice Telephone | 4805638787 |
| Practice Fax Number | 4805632377 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 025474 | CT | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 34169 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
20940 N TATUM BLVD SUITE 370 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
| 1518328871 | Gondra Center for Reproductive Care & Advanced Gynecology | Obstetrics & Gynecology | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-03-15 |
| 1073973558 | Gondra Center for Ivf Laboratories | Clinical Medical Laboratory | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-02-26 |
| 1386000917 | Advanced Scottsdale Anesthesia LLC | Specialist | 20940 N Tatum Blvd, Phoenix, AZ 85050-4265 | 2016-01-12 |
| 1568833994 | Scottsdale Dermatology, Ltd | Dermatology | 20940 N Tatum Blvd, Suite 270, Phoenix, AZ 85050-4265 | 2015-10-12 |
| 1245659531 | Arizona Glaucoma Specialists - North Phoenix, LLC | Ophthalmology | 20940 N Tatum Blvd, Suite 250, Phoenix, AZ 85050-7246 | 2014-04-15 |
| 1477802981 | Global Sleep | Clinic/Center | 20940 N Tatum Blvd, #325, Phoenix, AZ 85050-4265 | 2012-08-30 |
| 1174816730 | Emily Edwards Inglhofer | Family Medicine | 20940 N Tatum Blvd, Suite 300, Phoenix, AZ 85050-4265 | 2011-05-16 |
| 1285963389 | Spine Physicians PC | Family Medicine | 20940 N Tatum Blvd, Suite 350, Phoenix, AZ 85050-4265 | 2009-12-18 |
| 1114155140 | Chrystal D Lemaster | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| 1518233592 | Debora Elena Garcia-zalisnak | Ophthalmology | 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 | 2012-03-23 |
| 1750677415 | Matthew Heller | Ophthalmology | 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 | 2011-06-21 |
| 1629224795 | Ronald S Garlikov | Ophthalmology | 13225 N 14th St, Phoenix, AZ 85022-4918 | 2008-08-08 |
| 1952570194 | Misha Faustina, M.d. PC | Ophthalmology | 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 | 2008-02-21 |
| 1497971535 | Robert E Fintelmann | Ophthalmology | 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 | 2007-04-17 |
| 1013065770 | Madhavi Kurli | Ophthalmology | 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 | 2007-01-08 |
| 1457410623 | Abc Children's Eye Specialists PC | Ophthalmology | 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 | 2006-12-06 |
| 1851496848 | Graham Barth Kretchman | Ophthalmology | 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 | 2006-09-14 |
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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.