MICHELLE EISENHOWER M.D. (NPI# 1104026350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104026350 |
| Entity Type | Organization |
| Organization Name | MICHELLE EISENHOWER M.D. |
| Practice Address |
Michelle Eisenhower M.d. 2301 S. Broad St., M.o.b. Suite 201 Philadelphia PA 19148 |
| Mailing Address |
Michelle Eisenhower M.d. 500 William Ebbs La. West Chester PA 19380 |
| Practice Telephone | 2159529515 |
| Practice Fax Number | 2159521431 |
| Mailing Telephone | 2159529515 |
| Mailing Fax Number | 2159521431 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | MR. DAVE R HILL (OFFICE MANAGER) |
| Authorized Official Telephone | 6107835158 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
MD421472 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
MICHELLE EISENHOWER M.D. 2301 S. BROAD ST., M.O.B. SUITE 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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|---|---|---|---|---|
| 1801444138 | Korah Consulting, Inc | Family Medicine | 11934 Dumont Rd, Philadelphia, PA 19116-2319 | 2019-08-29 |
| 1275532160 | Joan Mureen Addley | Family Medicine | 8125 Stenton Ave, Philadelphia, PA 19150-3530 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578511564 | Joseph Isaac Trompeter | Family Medicine | 813 Washington Ave, Carnegie, PA 15106-3121 | 2006-05-04 |
| 1235125584 | Amy P Hursh | Family Medicine | 2541 E. Carson St., Pittsburgh, PA 15203 | 2005-09-22 |
| 1184622524 | The Family Practice of James Martin, Md, P.C. | Family Medicine | 1148 S Cedar Crest Blvd, Allentown, PA 18103-7933 | 2005-07-11 |
| 1235642968 | Pennsylvania Psychiatric Medical Services | Family Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2017-11-16 |
| 1467849281 | Monica Rezk | Family Medicine | 250 King of Prussia Rd Ste 2j, Radnor, PA 19087-5227 | 2015-04-20 |
| 1982953592 | Gerard Anthony Margiotti IIi | Family Medicine | 4829 E Street Rd, Trevose, PA 19053-6647 | 2012-08-29 |
| 1760742035 | Nagina Farida | Family Medicine | 2 Sharpe St, Kingston, PA 18704-3715 | 2012-05-21 |
| 1689705618 | Dennis James Kondash | Family Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2007-03-09 |
| 1285760603 | Carnegie Pediatrics | Family Medicine | 813 Washington Ave, Carnegie, PA 15106-3121 | 2007-02-27 |
| 1346258837 | Gregory Charles Anderson | Family Medicine | 6023 Harvard Sq, Pittsburgh, PA 15206-3015 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.