ADVA TAL EISENBERG (NPI# 1760724983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760724983 |
| Entity Type | Individual |
| Full Name | ADVA TAL EISENBERG |
| Credential | MD |
| Practice Address |
1918 Randolph Rd Ste 220 Charlotte NC 28207-1109 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161125 |
| Practice Fax Number | 7043161143 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2017-01300 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1918 RANDOLPH RD STE 220 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927399 | Mercy Rossana Bayot Moore | Internal Medicine | 1918 Randolph Rd Ste 220, Suite 220, Charlotte, NC 28207-1109 | 2005-07-28 |
| 1285909416 | Calondra Yvette Shepherd | Physician Assistant | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | 2012-03-21 |
| 1457639411 | Sangeetha Muppavarapu | Internal Medicine | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927399 | Mercy Rossana Bayot Moore | Internal Medicine | 1918 Randolph Rd Ste 220, Suite 220, Charlotte, NC 28207-1109 | 2005-07-28 |
| 1659376051 | Godwin Obinna Uzomba | Internal Medicine | 4456 Central Ave, Charlotte, NC 28205-5702 | 2005-06-14 |
| 1518405257 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2017-02-02 |
| 1467900977 | Novant Medical Group, Inc | Internal Medicine | 330 Billingsley Rd, Suite 101, Charlotte, NC 28211-5020 | 2016-09-13 |
| 1245627991 | Nicolas Mungo | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2015-04-21 |
| 1487081063 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd, Bldg 3000 Suite 3301f, Charlotte, NC 28262-3485 | 2013-09-27 |
| 1053754341 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1396007704 | Victoria Rollins | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2012-06-12 |
| 1992078901 | Francisco E Bautista Vitiello | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 | 2012-02-22 |
| 1992085971 | Novant Medical Group, Inc | Internal Medicine | 15825 Ballantyne Medical Place, Suite 220, Charlotte, NC 28277-3147 | 2011-08-23 |
| Find all providers in CHARLOTTE | ||||
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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.