CHARLES NICHOLAS EISENHAUER IV (NPI# 1275775587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275775587 |
| Entity Type | Individual |
| Full Name | CHARLES NICHOLAS EISENHAUER IV |
| Credential | M.D. |
| Practice Address |
6029 Walnut Grove Rd Ste 404 Memphis TN 38120-2112 |
| Mailing Address |
3320 Marcus Cv Bartlett TN 38134-2800 |
| Practice Telephone | 9017261056 |
| Mailing Telephone | 9016072934 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 57079 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | P | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100133120 | 05 | |
| OH | 0148667 | 05 | |
| TN | TN STATE LICENSE | 57079 | 01 |
| KY | KY STATE LICENSE | 48491 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3320 Marcus Cv, Bartlett, TN 381342800 | 9016072934 |
| Street Address |
6029 WALNUT GROVE RD STE 404 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1609132554 | Elizabeth He Wood | Surgery | 910 Madison Avenue Suite 310, Memphis, TN 38163-3328 | 2012-04-04 |
| 1124255161 | Sean D Mccarney | Surgery | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2009-06-17 |
| 1982877973 | John Shelton Nelson | Surgery | 1251 Wesley Dr Ste 151, Memphis, TN 38116-6443 | 2008-04-10 |
| 1588879845 | David Louis Webb Jr. | Surgery | 6029 Walnut Grove Rd Ste 106, Memphis, TN 38120-2112 | 2007-05-11 |
| 1578788535 | Mary Brinson Owens | Surgery | 1325 Eastmoreland Ave Ste 370, Memphis, TN 38104-7542 | 2007-04-16 |
| 1639392400 | Regan Frances Williams | Surgery | 51 N Dunlap St Ste 230, Memphis, TN 38105-4625 | 2007-04-10 |
| 1871502468 | Eugene Mangiante | Surgery | 241 S Grove Park Rd, Memphis, TN 38117-3505 | 2006-08-05 |
| 1669427886 | Meyer Eye Group Plc | Surgery | 1000 Brookfield Rd Ste 275, Suite 100, Memphis, TN 38119-0801 | 2006-05-24 |
| 1326005927 | Rodney A Martin | Surgery | 1286 Peabody Ave, Memphis, TN 38104-3550 | 2006-04-27 |
| Find all providers in MEMPHIS | ||||
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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.