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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Eric Andrew Eisen, M.D.

Otolaryngology Physician in Bellevue, WA · enumerated 2015 · practices at Proliance Surgeons, Inc., P.S..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104203793

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Registry record

Entity type Individual (Type 1)
Name Dr. Eric Andrew Eisen
Credential M.D.
Sex Male
Practice address 1231 116th Ave Ne Ste 930, Bellevue, WA, 98004
Fax (425) 688-1901
Enumeration date May 3, 2015
Last updated in NPPES Aug 17, 2023

Taxonomy & licenses

207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians · License MD61047604 (WA) Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License MD61047604 (WA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
2160928 Medicaid WA -
427413 Other WA WA L&I

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104203793 active?
Yes, as of the latest NPPES snapshot, NPI 1104203793 is active (record last updated 2023-08-17).
How do I verify Eric Eisen's NPI record?
Cross-check NPI 1104203793 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-17.