Active NPI
Melissa Eilenberger
- Physician Assistant
- Altoona, PA
National Provider Identifier
1124338173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051979
- Practice address
- 3000 Ivyside Park
Altoona, PA 16601-3777 - Phone
- (814) 949-5540
- NPI assigned
- Oct 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051979 | PA | Primary |
Addresses
Primary practice location
3000 Ivyside Park
Altoona, PA 16601-3777
Mailing address
1262 N 13TH St
Altoona, PA 16601-5946
Phone (814) 944-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051979 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1124338173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 N 13TH ST",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166015946",
"telephone_number": "814-944-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 IVYSIDE PARK",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166013777",
"telephone_number": "814-949-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EILENBERGER",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.