DR. IRWIN L EISENBERG (NPI# 1538252531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538252531 |
| Entity Type | Individual |
| Full Name | DR. IRWIN L EISENBERG |
| Credential | D.O. |
| Practice Address |
100 E Lehigh Ave Chc-1 Phila PA 19125-1012 |
| Mailing Address |
Po Box 820933 Phila PA 19182-0933 |
| Practice Telephone | 2157071866 |
| Practice Fax Number | 2157071876 |
| Mailing Telephone | 2157071866 |
| Mailing Fax Number | 2157071876 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS001985L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE GROUP | 597586 | 01 |
| PA | RAILROAD MEDICARE INDIVIDUAL | P00799009 | 01 |
| PA | 000693076 | 05 | |
| PA | RAILROAD MEDICARE | CD4829 | 01 |
| Street Address |
100 E LEHIGH AVE CHC-1 |
| City | PHILA |
| State | PA |
| Zip Code | 19125-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558649137 | Jennifer Marie Millado | Physician Assistant | 100 E Lehigh Ave, Chc-1, Phila, PA 19125-1012 | 2011-07-29 |
| 1861554313 | Paul Donald Fischer | Dentist | 100 E Lehigh Ave, Special Smiles, Phila, PA 19125-1012 | 2006-12-14 |
| 1932153467 | Ramcel Munoz Quien | Pediatrics | 100 E Lehigh Ave, Chc-1 East, Phila, PA 19125-1012 | 2006-05-20 |
| 1043296684 | Audrey Ann Fisher | Physician Assistant | 100 E Lehigh Ave, Chc-2, Phila, PA 19125-1012 | 2005-12-15 |
| 1821072059 | Gladys Lorena Fion | Internal Medicine | 100 E Lehigh Ave, Chc 1, Phila, PA 19125-1000 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568854594 | Michael A Minni | Family Medicine | 701 E Cathedral Rd Ste 11, Phila, PA 19128-2128 | 2015-02-27 |
| 1639496391 | Temple Physicians Inc | Family Medicine | 2726 Holme Ave, Phila, PA 19152-3011 | 2010-04-21 |
| 1811160088 | Peter A Arcuri Do PC | Family Medicine | 6447 Buist Ave, Phila, PA 19142-3118 | 2008-04-09 |
| 1306966361 | Howard R Levy | Family Medicine | 5965 Chester Ave, Phila, PA 19143-5517 | 2007-03-30 |
| 1932232899 | Joseph M Lichtman | Family Medicine | 514 S 4th Street, Phila, PA 19147 | 2007-03-13 |
| 1326195850 | Elizabeth B Hughes | Family Medicine | 2044 Pine St, Phila, PA 19103-6536 | 2007-01-05 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1831265529 | Leslie Bankoff | Family Medicine | 4041 Lancaster Ave, Phila, PA 19104 | 2006-11-27 |
| 1174696397 | Sky Medical Associates, P.C. | Family Medicine | 5801 Chew Ave, Floor 1, Phila, PA 19138-1727 | 2006-11-16 |
| 1245341247 | Kantilal J. Shah | Family Medicine | 2701 N Broad St, Phila, PA 19132-2743 | 2006-08-31 |
| Find all providers in PHILA | ||||
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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.