DR. THEODORE MATTHEW EISON (NPI# 1184773582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184773582 |
| Entity Type | Individual |
| Full Name | DR. THEODORE MATTHEW EISON |
| Credential | MD |
| Practice Address |
200 Patewood Dr Ste A115 Greenville SC 29615-3547 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644545105 |
| Practice Fax Number | 8644545689 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
35122 | SC | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
42534 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
200 PATEWOOD DR STE A115 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574141 | Lisa Maria Cartwright | Urology | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2006-03-29 |
| 1306374400 | Kevin R Knapp | Physician Assistant | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649618380 | Hostensia Mbi Beng | Pediatrics | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2013-06-04 |
| 1104184464 | Liliana Michelle Gomez Mendez | Pediatrics | 2150 Herbert Ct, Greenville, NC 27834 | 2012-04-24 |
| 1104941277 | Scott William Walters | Pediatrics | 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 | 2007-03-20 |
| 1013953272 | Leonard C Hymes | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834-3736 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134314032 | Heather Denise Stewart | Pediatrics | 96 Jonathan Lucas St; Csb 428, Msc 608, Charleston, SC 29425-5866 | 2007-09-13 |
| 1568951143 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 270, Columbia, SC 29203-6860 | 2018-05-09 |
| 1942435789 | Oana M Nicoara | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-05-22 |
| 1629221536 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1578721346 | Lauren Jennifer Becton | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-05-29 |
| 1144403999 | Ibrahim Shatat | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2007-12-14 |
| 1356532311 | Katherine Elizabeth Twombley | Pediatrics | 171 Ashley Avenue, Charleston, SC 29425-8908 | 2007-08-06 |
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on DR. THEODORE MATTHEW EISON.
| 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.