DR. JACOB EICHENBERGER


Address: 1120 15th Street, Augusta, GA 30912-0004
Phone: 7067246100

DR. JACOB EICHENBERGER (NPI# 1902192966) 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) 1902192966
Entity Type Individual
Full Name DR. JACOB EICHENBERGER
Credential M.D.
Practice Address 1120 15th Street
Augusta
GA 30912-0004
Mailing Address 1499 Walton Way
Suite 1400
Augusta
GA 30901-2602
Practice Telephone 7067246100
Mailing Telephone 7067246100
Enumeration Date 2011-06-28
Last Update Date 2015-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 074002 GA Allopathic & Osteopathic Physicians
N 208000000X Pediatrics MD51295 TN Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 5030 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1120 15TH STREET
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447237375 Ricardo Azziz Obstetrics & Gynecology 1120 15th Street, Augusta, GA 30912-0004 2005-12-30
1174094668 Mary Gabrielle Helfgott Advanced Practice Midwife 1120 15th Street, Ba #7513, Augusta, GA 30912 2018-12-10
1912492471 Sarah Crumley Asmann Nurse Practitioner 1120 15th Street, Department of Surgery, Augusta, GA 30912 2018-06-27
1912499286 Jillian Marie Soto Family Medicine 1120 15th Street, Augusta, GA 30912 2018-06-03
1447740741 Amanda Meredith Saxon Nurse Practitioner 1120 15th Street, Bbr 6518, Augusta, GA 30912 2018-05-14
1447757968 Mohamed M Meghil Student in an Organized Health Care Education/Training Program 1120 15th Street, Gc-1337, Augusta, GA 30912 2018-04-11
1942721667 Christopher Glen Jackson Emergency Medicine 1120 15th Street, Augusta, GA 30912 2017-07-03
1063933000 Andrea Martinez-velez Anesthesiology 1120 15th Street, Augusta, GA 30912 2017-06-29
1063941409 Viviam Skarleth Trejo Surgery 1120 15th Street, Augusta, GA 30912 2017-06-08
1548799976 Alexander Herzog Internal Medicine 1120 15th Street, Augusta, GA 30912 2017-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134745953 Molly C Shields Pediatrics Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 2020-06-17
1033734918 Lauren Wooten Smith Pediatrics Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 2020-06-16
1487211199 Ashley Elizabeth Miller Pediatrics 1146 Harper Street, Augusta, GA 30912-0001 2019-05-29
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1558824797 John-david Constantine Bruce Pediatrics Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 2019-04-12
1306229182 Alexander James Eason Pediatrics Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 2015-06-30
1184945339 Shannon Nicole Myers Pediatrics 3727 Executive Center Dr, Augusta, GA 30907-2398 2010-06-22
1801113386 Gerard Rubin Pediatrics 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 2010-04-23
1013246487 William Weston IIi Pediatrics 93 Bristlecone Ct., Augusta, GA 30909-1861 2009-12-15
1225285372 Mustafa Musa Nimir Pediatrics 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 2008-08-20
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Competitor

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City AUGUSTA
Zip Code 30912

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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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