Maryrose Eichelberger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F75735 Issued in MD

Practice address

950 Indian Landing Rd
Millersville, MD 21108-2145

Phone

(410) 971-4153

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blakeslee and Eichelberger LLC

  • Internal Medicine Physician
  • Severna Park, MD
  • NPI 1447336615
  NPD (past)
• Forest Park Specialists, LLP

  • Rehabilitation Hospital
  • Baltimore, MD
  • NPI 1336190651
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1215152202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 INDIAN LANDING RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082145",
            "telephone_number": "410-971-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 INDIAN LANDING RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082145",
            "telephone_number": "410-971-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "MARYROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42146",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD88657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME147909",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "F75735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D42126",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raveena Priyanka Edwards, MD
• Effective Chiropractic, Inc
• Effective Integrative Healthcare LLC
• Effective Integrative Healthcare, LLC
• Kathryn Egolf, LCSW-C
• Nelli El-Ghazal, PH.D.
• Elevation Therapy Group LLC
• Andrea Ellis, LGPC
• Kerry Ellis, LCSW-C
• Andrew Joseph Eloshway, LCPC

• Internal Medicine Physician in Millersville, MD
• Providers in Millersville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.