Marc D Eisen (NPI# 1649345513, PAC ID# 9537161039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1649345513 |
PAC ID by PECOS | 9537161039 |
Professional Enrollment ID | I20070213000559 |
Full Name | Marc D Eisen |
Organization Legal Name | EAR SPECIALTY GROUP OF CONNECTICUT PC |
Address |
40 Stanford Dr Farmington CT 06032-2454 |
Phone Number | 8606404455 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 0446502686 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070025 | HARTFORD HOSPITAL |
070035 | THE HOSPITAL OF CENTRAL CONNECTICUT |
Address | Phone | Organization |
---|---|---|
40 Stanford Dr, Farmington, CT 06032-2454 | 8606404455 | EAR SPECIALTY GROUP OF CONNECTICUT PC |
65 Memorial Rd, Suite 200, West Hartford, CT 06107-4215 | 8606404455 | EAR SPECIALTY GROUP OF CONNECTICUT PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 64% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | EAR SPECIALTY GROUP OF CONNECTICUT PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Hannah Sussman | Qualified Audiologist | Ear Specialty Group of Connecticut PC | 40 Stanford Dr, Farmington, CT 06032-2454 |
Susan H Rostron | Qualified Audiologist | Ear Specialty Group of Connecticut PC | 40 Stanford Dr, Farmington, CT 06032-2454 |
Street Address |
40 STANFORD DR |
City | FARMINGTON |
State | CT |
Zip | 06032-2454 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Hannah Sussman | Qualified Audiologist | Ear Specialty Group of Connecticut PC | 40 Stanford Dr, Farmington, CT 06032-2454 |
Susan H Rostron | Qualified Audiologist | Ear Specialty Group of Connecticut PC | 40 Stanford Dr, Farmington, CT 06032-2454 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter G Walden | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
Paul R Mitchell | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Farmington, CT 06032 |
Majida Gaffar | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
Mary Ellen Campbell | Registered Dietitian Or Nutrition Professional | 5 Eastview Dr, Farmington, CT 06032-1231 | |
Carrie L Lukens | Clinical Psychologist | Hartford Hospital | 20 Devonwood Dr, Farmington, CT 06032-1417 |
Kurt Fuchs | Clinical Social Worker | 2 Forest Park Dr, Farmington, CT 06032-1445 | |
Sandra R Summer | Clinical Social Worker | 6 Forest Park Dr, Suite 2, Farmington, CT 06032-1467 | |
Christopher A Wallace | Pathology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
Gerard M Nolan | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | |
Find all physicians in zip 06032 |
City | FARMINGTON |
Zip Code | 06032 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | FARMINGTON + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Marc D Eisen.
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.