Provider Demographics
NPI:1801184031
Name:SCOTT A EISMAN MD INC
Entity Type:Organization
Organization Name:SCOTT A EISMAN MD INC
Other - Org Name:COASTAL PULMONARY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:EISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-632-4269
Mailing Address - Street 1:PO BOX 235509
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92023-5509
Mailing Address - Country:US
Mailing Address - Phone:760-632-4269
Mailing Address - Fax:
Practice Address - Street 1:326 SANTA FE DR STE 100
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5157
Practice Address - Country:US
Practice Address - Phone:760-230-8994
Practice Address - Fax:760-944-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801184031OtherNPI -2