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JERRY D. EISNER MD NPI 1215923354


NPI Information

NPI: 1215923354
Provider Name: JERRY D. EISNER, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual
Address:
1400 E. KINCAID ST.
SKAGIT REGIONAL CLINICS
MOUNT VERNON, WA
ZIP 98274
Phone: (360) 814-6200
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Jerry D. Eisner, MD is a dermatology in Mount Vernon, WA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Jerry D. Eisner, MD NPI is 1215923354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 E. KINCAID ST.
SKAGIT REGIONAL CLINICS
MOUNT VERNON, WA
ZIP 98274-127
Phone: (360) 814-6200
Fax: (360) 814-6210

The enumeration date for this NPI number is 9/23/2005 and was last updated on 10/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyMD00014819WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11100059MEDICARE PINWASHINGTON
2263627OTHERWASHINGTONLABOR & INDUSTRIES
38354912MEDICAIDWASHINGTON
4G8892628MEDICARE PINWASHINGTON
5A08983MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.