Marc D Eisen
EAR SPECIALTY GROUP OF CONNECTICUT PC


Address: 40 Stanford Dr, Farmington, CT 06032-2454
Phone: 8606404455

Marc D Eisen (NPI# 1649345513, PAC ID# 9537161039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070025 HARTFORD HOSPITAL
070035 THE HOSPITAL OF CENTRAL CONNECTICUT

Other Locations

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

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name EAR SPECIALTY GROUP OF CONNECTICUT PC
Physicians 3

Physicians with the same organization

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

Office Location

Street Address 40 STANFORD DR
City FARMINGTON
State CT
Zip 06032-2454

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City FARMINGTON
Zip Code 06032
Specialty OTOLARYNGOLOGY
City + Specialty FARMINGTON + OTOLARYNGOLOGY

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Dataset Information

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.

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