Provider Demographics
NPI:1841387214
Name:ACUTE CARE ASSOCIATES, INC
Entity Type:Organization
Organization Name:ACUTE CARE ASSOCIATES, INC
Other - Org Name:IN-PATIENT MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:EISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-943-8806
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:760-943-8806
Mailing Address - Fax:760-943-8806
Practice Address - Street 1:354 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5142
Practice Address - Country:US
Practice Address - Phone:760-943-8806
Practice Address - Fax:760-943-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0105280Medicaid
CAZZZ00078ZOtherBLUE SHIELD GROUP
CAZZZ00078ZOtherBLUE SHIELD GROUP
CAW13289Medicare PIN
CAW13289Medicare ID - Type UnspecifiedGROUP ID NUMBER