DR. MARK PHILIP EISENBERG (NPI# 1487628418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487628418 |
| Entity Type | Individual |
| Full Name | DR. MARK PHILIP EISENBERG |
| Credential | MD |
| Practice Address |
73 High St Charlestown Healthcare Center Charlestown MA 02129-3026 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177248135 |
| Practice Fax Number | 6177248010 |
| Mailing Telephone | 6177248135 |
| Mailing Fax Number | 6177248010 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 54761 | MA | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
54761 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3013103 | 05 | |
| MA | TUFTS HEALTH PLAN | 054761 | 01 |
| MA | BCBS MA | J05654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611731 | Mark Eisenberg | Neurological Surgery | Nslij -department of Neurosurgery, 900 Northern Boulevard, Great Neck, NY 11021 | 2007-03-27 |
| 1982713905 | Mark F Eisenberg | Dentist | 1811 S. Crain Hwy, Glen Burnie, MD 21061 | 2006-08-30 |
| 1467539254 | Mark Eisenberg | Physical Therapist | 67 Lacey Rd, Whiting, NJ 08759-2912 | 2006-11-01 |
| 1598870438 | Mark Eisenberg | Psychologist | 251 Causeway St, Room 229, Boston, MA 02114-2148 | 2006-08-20 |
| 1477588911 | Mark H Eisenberg | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
| Street Address |
73 HIGH ST CHARLESTOWN HEALTHCARE CENTER |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950559 | Jon C. Hagan | Physical Therapist | 73 High St, Charlestown, MA 02129-3026 | 2005-08-24 |
| 1174130330 | Jorge Cardona | Social Worker | 73 High St, Charlestown, MA 02129-3026 | 2020-09-30 |
| 1982226213 | Michael Di Bianca | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2020-05-08 |
| 1609496199 | Whitney J Erby | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2020-04-24 |
| 1588207021 | Eliza Abdu-glass | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2019-10-28 |
| 1730730433 | Haley Rose Jordan | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2019-09-24 |
| 1700356375 | Catharine Cornelia Downs | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2018-11-27 |
| 1538651138 | Ellen R Gutowski | Student in an Organized Health Care Education/Training Program | 73 High St, Mgh Charlestown Health Ctr, Charlestown, MA 02129-3026 | 2018-05-31 |
| 1447742044 | Despina Petsagourakis | Student in an Organized Health Care Education/Training Program | 73 High St, Mgh Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2018-05-31 |
| 1548775240 | Sarah Elizabeth Kilduff | Counselor | 73 High St, Charlestown, MA 02129-3026 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1710368121 | Caitlin L Cohen | Internal Medicine | Mgh Charlestown Healthcare Center, 73 High Street, Charlestown, MA 02129 | 2015-06-11 |
| 1639294440 | Kurt J Isselbacher | Internal Medicine | Mgh Cancer Center, Bldg 149 13th St, 7th Floor, Charlestown, MA 02129 | 2007-03-20 |
| 1578694519 | John V Coyle | Internal Medicine | 30 Shipway Pl, Charlestown, MA 02129-4303 | 2007-03-09 |
| 1144395179 | Joyce Fu Liu | Internal Medicine | 55 Fruit Street Yawkey 7604, Mass General Physician Organization, Charlestown, MA 02129 | 2006-11-22 |
| 1285685560 | Stuart Demirs | Internal Medicine | 4099 Old Post Rd, Charlestown, RI 02813 | 2006-05-12 |
| 1902326101 | Tiara Forsyth Calhoun | Internal Medicine | 73 High St, Charlestown, MA 02129-3026 | 2017-06-20 |
| 1295264091 | Alexandra Irene Gundersen | Internal Medicine | 300 1st Ave, Charlestown, MA 02129 | 2017-06-06 |
| 1306227871 | Hannah Catherine Wenger | Internal Medicine | 73 High St, Charlestown, MA 02129 | 2015-06-10 |
| 1790912285 | Sarah E Wakeman | Internal Medicine | 73 High St, Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2009-06-11 |
| 1235321738 | Shefali A Kapadia | Internal Medicine | 11500 Highway 62, Charlestown, IN 47111-8612 | 2007-08-17 |
| Find all providers in CHARLESTOWN | ||||
| City | CHARLESTOWN |
| Zip Code | 02129 |
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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.