DR. MATTHEW DAN EICHENBAUM (NPI# 1831216746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831216746 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAN EICHENBAUM |
| Credential | M.D. |
| Practice Address |
3401 Brandywine Pkwy Ste101 Wilmington DE 19803-1554 |
| Mailing Address |
1941 Limestone Rd Ste 101 Wilmington DE 19808-5413 |
| Practice Telephone | 3026559494 |
| Practice Fax Number | 3024791559 |
| Mailing Telephone | 3026559494 |
| Mailing Fax Number | 3026333559 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C1-0009482 | DE | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD432176 | PA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
C1-0009482 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | RAILROAD MEDICARE | P00908709 | 01 |
| DE | AETNA | 9128542 | 01 |
| DE | 1831216746 | 05 | |
| DE | AMERIHEALTH/IBX/KEYSTONE | 3810352000 | 01 |
| Street Address |
3401 BRANDYWINE PKWY STE101 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088333 | Laura L. Oliver | Physician Assistant | 3401 Brandywine Pkwy, Ste 101, Wilmington, DE 19803-1554 | 2006-01-26 |
| 1750832812 | Crystal Dimauro | Physician Assistant | 3401 Brandywine Pkwy, Ste 100, Wilmington, DE 19803-1554 | 2016-10-24 |
| 1821474826 | Ryan Nucifora | Physical Therapist | 3401 Brandywine Pkwy, Suite 201, Wilmington, DE 19803-1554 | 2015-08-03 |
| 1841429156 | Michael Alan Fishman | Anesthesiology | 3401 Brandywine Pkwy, Suite 202, Wilmington, DE 19803-1554 | 2009-07-08 |
| 1073664926 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 3401 Brandywine Pkwy, Suite 101, Wilmington, DE 19803-1554 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063926152 | Emergeortho, P.a. | Orthopaedic Surgery | 7419 Market St Ste C, Wilmington, NC 28411-9454 | 2017-11-28 |
| 1821524182 | First State Orthopaedics, Pa | Orthopaedic Surgery | 5317 Limestone Rd Bldg Suite104, Wilmington, DE 19808-1252 | 2017-05-05 |
| 1073069043 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 3401 Brandywine Pkwy Ste 100, Wilmington, DE 19803-1554 | 2016-08-30 |
| 1720211220 | Concord Health and Rehabilitation | Orthopaedic Surgery | 1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 | 2009-08-31 |
| 1427197458 | Fabio Figueiredo | Orthopaedic Surgery | 2501 Silverside Rd Ste 1, Wilmington, DE 19810-3726 | 2007-02-06 |
| 1659424679 | Robert M. Moore | Orthopaedic Surgery | 1508 Medical Center Dr, Wilmington, NC 28401-7507 | 2007-01-21 |
| 1548330228 | First State Orthopaedics Pa | Orthopaedic Surgery | 1401 Foulk Rd Ste 101, Wilmington, DE 19803-2764 | 2006-11-09 |
| 1255420493 | Craig D Morgan | Orthopaedic Surgery | 2501 Silverside Road, Wilmington, DE 19810 | 2006-10-12 |
| 1255353298 | Port City Orthopaedics Pllc | Orthopaedic Surgery | 5302 Oleander Dr, Wilmington, NC 28403-5810 | 2006-07-25 |
| 1356376289 | Derrick Gerard Hickey | Orthopaedic Surgery | 5305 Wrightsville Ave Ste H, Wilmington, NC 28403-6507 | 2006-07-11 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
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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.