Maxwell Michael Eidam

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP037415 Issued in PA

Practice address

3081 Morehouse Rd
Erie, PA 16509-5931

Phone

(330) 840-0786

NPI assigned

Oct 17, 2026

Last updated

Oct 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1457257321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 MOREHOUSE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165095931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 MOREHOUSE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165095931",
            "telephone_number": "330-840-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDAM",
        "first_name": "MAXWELL",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP037415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James Eggleston, DO
• Brandy Egland
• Isabella Lucy Ehrensberger, PA-C
• Zoe Ehrensberger, PA-C
• Nicole Marie Ehrman, PA-C
• Stacey Eierman, PHARMD
• Mary Kathryn Vicary Eighmy
• Julia Nichole Eimers
• Melissa J Eimers, LCSW
• Mitchel Einink, PHARMD

• Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.