DR. KENNETH LEE EISENBERG (NPI# 1134190945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134190945 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE EISENBERG |
| Credential | MD |
| Practice Address |
3480 Bob Wilson Drive Nmcsd,att Medical Staff Services San Diego CA 92134 |
| Mailing Address |
3480 Bob Wilson Drive Nmcsd,att Medical Staff Services Suite 301 San Diego CA 92134 |
| Practice Telephone | 6195326460 |
| Practice Fax Number | 6195326299 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
26310 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376929 | Kenneth Lawrence Eisenberg | Surgery | 1600 Medical Center Dr, Ste 212, El Paso, TX 79902-5008 | 2005-06-14 |
| Street Address |
3480 BOB WILSON DRIVE NMCSD,ATT MEDICAL STAFF SERVICES |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1093198392 | Abdurrahman Akhlaq Husain | Internal Medicine | 8555 Aero Dr Ste 104, San Diego, CA 92123-1744 | 2015-07-04 |
| 1639447337 | Richard David Kremsdorf | Internal Medicine | 4172 Combe Way, San Diego, CA 92122-2511 | 2011-12-08 |
| 1962738641 | Xavier Soler | Internal Medicine | 200 West Arbor Dr - 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2009-10-30 |
| 1437327053 | Jan Rodger Radke | Internal Medicine | 13241 Luckett Ct, San Diego, CA 92130-3225 | 2008-02-16 |
| 1124079793 | Samuel J. Clark, M.d., Inc. | Internal Medicine | 1940 El Cajon Blvd, San Diego, CA 92104-1005 | 2006-05-16 |
| 1023006418 | Gregg Garner | Internal Medicine | 1684 Torrance St, San Diego, CA 92103-3746 | 2005-10-10 |
| 1922008598 | Gang Bao | Internal Medicine | 6699 Alvarado Rd Ste 2306, San Diego, CA 92120-5241 | 2005-07-26 |
| 1891280228 | Gregory P. Ranches Md, Apc | Internal Medicine | 501 Washington St., Ste 508, San Diego, CA 92103 | 2018-06-27 |
| 1891207171 | Iha Pulmonary Inc | Internal Medicine | 7801 Mission Center Ct, San Diego, CA 92108-1313 | 2017-10-26 |
| 1023436417 | Jisha K. Joshua | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-04-02 |
| Find all providers in SAN DIEGO | ||||
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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.