DR. TED EISENBERG (NPI# 1386770428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386770428 |
Entity Type | Individual |
Full Name | DR. TED EISENBERG |
Credential | D.O. |
Practice Address |
2375 Woodward St 102 Philadelphia PA 19115-5120 |
Practice Telephone | 2159692005 |
Practice Fax Number | 2159692006 |
Mailing Telephone | 2159692005 |
Mailing Fax Number | 2159692006 |
Enumeration Date | 2007-02-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
OS004048L | PA | Allopathic & Osteopathic Physicians |
Street Address |
2375 WOODWARD ST 102 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19115-5120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500809 | Alla Shpaner | Internal Medicine | 2375 Woodward St, Philadelphia, PA 19115-5120 | 2005-07-07 |
1588917330 | Charmie Soni | Dentist | 2375 Woodward St, Apartment 211, Philadelphia, PA 19115-5120 | 2012-10-17 |
1285805507 | Avellina Inc. | Internal Medicine | 2375 Woodward St, Philadelphia, PA 19115-5120 | 2008-03-14 |
1740450188 | Alla Shpaner Md,pc | Clinic/Center | 2375 Woodward St, Philadelphia, PA 19115-5120 | 2008-02-29 |
1609094283 | Yelena Litvinenko | Psychologist | 2375 Woodward St, Philadelphia, PA 19115-5120 | 2007-04-21 |
1558441188 | Fredric K Weiss | Dentist | 2375 Woodward St, Suite 118, Philadelphia, PA 19115-5120 | 2006-10-17 |
1578579108 | Yelena Yachmenyova | Internal Medicine | 2375 Woodward St, Suite 115, Philadelphia, PA 19115-5120 | 2006-08-01 |
1285652255 | Woodward Internal Medicine, Inc. | Internal Medicine | 2375 Woodward St, Suite 115, Philadelphia, PA 19115-5120 | 2006-07-18 |
1851336705 | Mark A. Rabin Dpm Associates | Podiatrist | 2375 Woodward St, Suite 111n, Philadelphia, PA 19115-5120 | 2006-06-17 |
1457332405 | Mark Alan Rabin | Podiatrist | 2375 Woodward St, Suite 111n, Philadelphia, PA 19115-5120 | 2005-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
Find all providers in zip 19115 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
1396276077 | Michael Alan Lanni | Surgery | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2017-03-23 |
1851742894 | Michael G. Tecce | Surgery | 3400 Spruce Street, Philadelphia, PA 19104 | 2016-06-30 |
1467863449 | Jason Wink | Surgery | 3400 Spruce St, 10 Penn Tower, Philadelphia, PA 19104-4238 | 2014-05-13 |
1669818753 | Valeriy Shubinets | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-05-15 |
1821381153 | Lin Lin Gao | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-05-19 |
1316171408 | John Gregory Fernandez | Surgery | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2009-05-05 |
1649496340 | Brooke Alissa Burkey | Surgery | 3601 A St, Suite 2204, Philadelphia, PA 19134-1043 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
1063575561 | Daniel R Nevarre | Surgery | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19115 |
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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.