DR. ELISE PATRICIA EICHENBERG (NPI# 1407074032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407074032 |
| Entity Type | Individual |
| Full Name | DR. ELISE PATRICIA EICHENBERG |
| Credential | M.D. |
| Practice Address |
2222 Bancroft Ext Berkeley CA 94720-4300 |
| Practice Telephone | 5106437110 |
| Mailing Telephone | 5106437110 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G064977 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2222 BANCROFT EXT |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720936 | Jeffrey Donald Nelson | Family Medicine | 2222 Bancroft Ext, University Health Service- Clinical Services, Berkeley, CA 94720-4303 | 2005-09-19 |
| 1003013269 | Jillian Margaret Chelson | Physician Assistant | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
| 1871790030 | Laura Ortiz Guillen | Psychologist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
| 1710182944 | Susan Lynn Rode | Social Worker | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-18 |
| 1245441237 | Mary K Popylisen | Physical Therapist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-05-24 |
| 1922132885 | Karen Hipkins | Nurse Practitioner | 2222 Bancroft Ext, #4300, Berkeley, CA 94720-4300 | 2007-03-15 |
| 1922135649 | Robert Edward Stuart | Obstetrics & Gynecology | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2007-02-28 |
| 1952459240 | Diane Liu | Preventive Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-01-05 |
| 1073677613 | Christina Susanne Wilmer | Optometrist | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2006-12-20 |
| 1184788713 | Anne D.m.u. Moy | Optometrist | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2006-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249144 | Zizmor Medical Group Inc. | Internal Medicine | 1935 Addison St Ste A, Berkeley, CA 94704-1354 | 2020-09-08 |
| 1861926669 | David Kagan Md Inc | Internal Medicine | 1829 Monterey Ave, Berkeley, CA 94707-2543 | 2017-04-18 |
| 1629435946 | Patrick Jerome Scannon | Internal Medicine | 2910 Seventh St, Berkeley, CA 94710-2700 | 2016-01-16 |
| 1467829879 | Laura Wilson | Internal Medicine | 593 The Alameda, Berkeley, CA 94707-1644 | 2015-09-02 |
| 1053795450 | Jenna T Dean | Internal Medicine | 2540 Ashby Ave, Room 5505, Berkeley, CA 94705-2067 | 2015-07-15 |
| 1679956932 | Robert Allan Hiatt | Internal Medicine | 145 Hillcrest Rd, Berkeley, CA 94705-2808 | 2015-07-06 |
| 1588054076 | Hana Holistic Medical Center | Internal Medicine | 2107 Channing Way, Berkeley, CA 94704-2020 | 2015-02-04 |
| 1639567647 | Lee W Riley | Internal Medicine | 530e Li Ka Shing Bldg, School of Public Health, University of California, Berkeley, CA 94720-3369 | 2014-12-26 |
| 1316217441 | Michael Lance Seal | Internal Medicine | 1844 San Ramon Ave, Berkeley, CA 94707-1645 | 2012-01-05 |
| 1467721902 | Carol West | Internal Medicine | 701 Panoramic Way, Berkeley, CA 94704-2538 | 2011-12-28 |
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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.