JOHN EISENGA MD
NPI 1417577834
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 26, 2020PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-2361 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Eisenga Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN EISENGA MD (NPI 1417577834) is an individual student in an organized health care education/training program provider in Dallas, Texas and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated April 27, 2020.

NPPES Registry Identity

NPI1417577834
Entity TypeIndividualMale
Provider Legal NameJOHN EISENGACredential: MD
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address6012 Pierce StOmaha, NE 68106-1524 · (616) 446-9183
Sole ProprietorYes
Enumeration DateApril 26, 2020
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
NPI 1417577834 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3500 GASTON AVE, Dallas, TX 75246

Medicare Participation & PECOS Enrollment Status

John Eisenga is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JOHN EISENGA MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
3500 GASTON AVE
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Obstetrics & Gynecology
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Pharmacist (Pharmacotherapy)
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DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE, 3 HOP - DEPARTMENT OF NEONATOLOGY
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Specialist
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DALLAS, TX 75246
Nurse Anesthetist, Certified Registered
3500 GASTON AVE
DALLAS, TX 75246
Nurse Anesthetist, Certified Registered
3500 GASTON AVE
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Nurse Practitioner (Neonatal)
3500 GASTON AVE
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Nurse Practitioner (Neonatal, Critical Care)
3500 GASTON AVE, SUITE 250
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, NEONATOLOGY
DALLAS, TX 75246
Nurse Practitioner (Neonatal)
3500 GASTON AVE
DALLAS, TX 75246
Nurse Practitioner (Neonatal)
3500 GASTON AVE, NEONATOLOGY
DALLAS, TX 75246
Nurse Practitioner (Neonatal)
3500 GASTON AVE
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Nuclear Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Nurse Practitioner (Neonatal, Critical Care)
3500 GASTON AVE
DALLAS, TX 75246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417577834, enumerated as an "individual" on April 26, 2020.

The provider is located at 3500 GASTON AVE DALLAS, TX 75246 and the phone number is (214) 820-2361.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.