Individual provider Active NPI

Maureen Eisenberg, D.O.

  • Family Medicine Physician
  • Hanover, PA
National Provider Identifier
1336148121
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD05008158L Issued in PA
Practice address
111 Penn St
Hanover, PA 17331-1929
Phone
(717) 632-4449
Fax
(717) 632-3553
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD05008158L PA Primary

Addresses

Primary practice location

111 Penn St
Hanover, PA 17331-1929

Mailing address

111 Penn St
Hanover, PA 17331-1929
Phone (717) 632-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000843 PA Practitioner - Family Practice 6709784440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanover Family Practice Associates, LLCGroup PAC ID 1850299587, 15 clinicians

Practice addresses (Care Compare)

100 Frederick St
Hanover, PA 17331-3518
Phone (717) 633-5075

111 Penn St
Hanover, PA 17331-1959
Phone (717) 632-4449

112 Clover LN
Hanover, PA 17331-4321
Phone (717) 637-7812

Hospital & facility affiliations

  • Vna of Hanover and Spring Grove Home health agency, Hanover, PA, CCN 397061
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MD05008158LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Family Practice Associates, LLC Family Medicine CurrentSince Aug 5, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

112 Clover Ln
Hanover, PA 17331
Phone (717) 632-4449

111 Penn St
Hanover, PA 17331
Phone (717) 632-0774

100 Penn St
Ste D
Hanover, PA 17331
Phone (717) 632-0774

Interoperability endpoints

  • Direct secure messaging: meisenberg445617@wellspan.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1336148121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311929",
            "telephone_number": "717-632-4449",
            "fax_number": "717-632-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311929",
            "telephone_number": "717-632-4449",
            "fax_number": "717-632-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD05008158L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.