DR. TED EISENBERG


Address: 2375 Woodward St, 102, Philadelphia, PA 19115-5120
Phone: 2159692005

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
OS004048L PA Allopathic & Osteopathic Physicians

Office Location

Street Address 2375 WOODWARD ST
102
City PHILADELPHIA
State PA
Zip Code 19115-5120

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PHILADELPHIA
Zip Code 19115

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Dataset Information

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.

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