Michelle Eisenhower M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

MD421472 Issued in PA

Legal business name

MICHELLE EISENHOWER M.D.

Practice address

Michelle Eisenhower M.D.
2301 S. Broad St., M.O.B. Suite 201
Philadelphia, PA 19148

Phone

(215) 952-9515

Fax

(215) 952-1431

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dave R Hill

Title

Office Manager

Phone

(610) 783-5158

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1104026350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MICHELLE EISENHOWER M.D.",
            "address_2": "500 WILLIAM EBBS LA.",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "215-952-9515",
            "fax_number": "215-952-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MICHELLE EISENHOWER M.D.",
            "address_2": "2301 S. BROAD ST., M.O.B. SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-952-9515",
            "fax_number": "215-952-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE EISENHOWER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-783-5158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MD421472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelot Michel, MD
• Nadine Michel
• Stacey Michel, COTA
• Adrienne Michelet, PHARMD, BCPS
• Robert Gil Micheletti, MD
• Michelle Horman CCC-SLP
• Kevin Michels, PT, DPT
• Rebecca Michels, MD
• Ian Michelson, MD
• Sarah Judith Michelson, MD

• Adolescent Medicine (Family Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adolescent Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.