| NPI | 1083710008 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-16 |
| Last Updated | 2007-07-08 |
| Mailing Address | 3700 Joseph Siewick Dr, Suite 203 Fairfax, VA 22033-1744 United States Phone: (703) 758-8313 📍 View Map |
| Primary Practice Address | 3700 Joseph Siewick Dr, Suite 203 Fairfax, VA 22033-1744 United States Phone: (703) 758-8313 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 006070400 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | VA | 0101040504 |
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About NPI 1083710008
Marc Eisenbaum M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083710008. The primary specialty listed is Internal Medicine. The provider is located in Fairfax, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083710008?
NPI 1083710008 belongs to Marc Eisenbaum M.D., a Internal Medicine in Fairfax, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083710008 active?
The current status of NPI 1083710008 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1083710008?
NPI 1083710008 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083710008?
You can verify NPI 1083710008 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083710008?
The primary practice address on file for NPI 1083710008 is 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083710008 issued?
NPI 1083710008 was first issued (enumerated) on 2006-09-16. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Marc Eisenbaum is located at 3700 Joseph Siewick Dr, Fairfax, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Marc Eisenbaum. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083710008. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 0101040504 | VA |