Richard Eisenman (NPI# 1053472175, PAC ID# 4385722131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1053472175 |
| PAC ID by PECOS | 4385722131 |
| Professional Enrollment ID | I20080421000256 |
| Full Name | Richard Eisenman |
| Organization Legal Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Address |
808 Farrar Dr Conway SC 29526-8747 |
| Phone Number | 8433477300 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1978 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9830087774 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2376 Cypress Cir, Conway, SC 29526-8994 | CONWAY HOSPITAL COMMUNITY SERVICES | |
| 808 Farrar Dr, Conway, SC 29526-8747 | 8433477300 | CONWAY HOSPITAL COMMUNITY SERVICES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 28% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 56% |
| Organization Legal Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Ann Fowler | Certified Nurse Midwife (cnm) | Conway Hospital Community Services | 2367 Cypress Cir, Suite 200, Conway, SC 29526-8921 |
| Yolanda Lang | Nurse Practitioner | Conway Hospital Community Services | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 |
| Praveen Kumar Vemuri | Neurology | Conway Hospital Community Services | 124 Professional Park Dr, Conway, SC 29526-9260 |
| Shannon Michelle Spence | Nurse Practitioner | Conway Hospital Community Services | 4022 Postal Way, Myrtle Beach, SC 29579-3537 |
| Kimberly D Hunsucker | Nurse Practitioner | Conway Hospital Community Services | 1301 Creel St, Conway, SC 29527-5018 |
| Carol S Eaton | Physician Assistant | Conway Hospital Community Services | 903 Bell St, Conway, SC 29526-4113 |
| Rachel Collins | Nurse Practitioner | Conway Hospital Community Services | 2367 Cypress Cir B, Conway, SC 29526-8921 |
| Stephanie H Crawford | Nurse Practitioner | Conway Hospital Community Services | 1213 Elm St, Aynor, SC 29511-3320 |
| Kimberly D Spivey | Nurse Practitioner | Conway Hospital Community Services | 51 11th Ave, Aynor, SC 29511-3249 |
| Charles Winfield Johnson Jr. | Internal Medicine | Conway Hospital Community Services | 8002 Myrtle Trace Dr, Conway, SC 29526-8945 |
| Street Address |
808 FARRAR DR |
| City | CONWAY |
| State | SC |
| Zip | 29526-8747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George M Sandoz | Neurology | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Fritz Franklin Frye | Physician Assistant | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Kallie Graham Britton | Physician Assistant | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Peter Carlton Bondy | Otolaryngology | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Gilbertas Rimkus | General Surgery | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Alexandria Paige Potratz Lee | Qualified Audiologist | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Erin Floyd | Physician Assistant | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Jessica Perry Lukowski | Obstetrics/gynecology | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Jennifer L Lee | Nurse Practitioner | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Bradley W Lineback | Obstetrics/gynecology | Conway Hospital Community Services | 808 Farrar Dr, Conway, SC 29526-8747 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CONWAY + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Richard Eisenman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.