NPIMap

Organization Active NPI

Dr. Eischen Clinic, P. C.

  • Family Medicine Physician
  • Saint Charles, IA
National Provider Identifier
1235173378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02094 Issued in IA
Legal business name
DR. EISCHEN CLINIC, P. C.
Practice address
106 West Main Street
Suite 267
Saint Charles, IA 50240-0267
Phone
(641) 396-2989
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Gerhardt Eischen, D.O.NPI 1376587493
Title
Director
Phone
(641) 396-2989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 02094 IA Primary

Addresses

Primary practice location

106 West Main Street
Suite 267
Saint Charles, IA 50240-0267

Mailing address

106 West Main Street
Saint Charles, IA 50240-0267
Phone (641) 396-2989

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235173378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WEST MAIN STREET",
            "city": "SAINT CHARLES",
            "state": "IA",
            "postal_code": "502400267",
            "telephone_number": "641-396-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST MAIN STREET",
            "address_2": "SUITE 267",
            "city": "SAINT CHARLES",
            "state": "IA",
            "postal_code": "502400267",
            "telephone_number": "641-396-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EISCHEN CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EISCHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GERHARDT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-396-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.