Ethan W Eiselt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05399 Issued in OH

Practice address

455 Delta Ave Ste 1
Cincinnati, OH 45226-1178

Phone

(513) 321-8484

Fax

(513) 321-3676

NPI assigned

Nov 6, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt. Lookout Chiropractic Center, Inc.Group PAC ID 1456384866, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mt. Lookout Chiropractic Center, Inc.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1346369295
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1508689753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261178",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261178",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELT",
        "first_name": "ETHAN",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Eilers, R.PH.
• Amy Einhaus, MT ASCP
• Laurie Ann Einwald, P.A.-C
• Sandra Adams Eisele, MD
• Eric W Eiselt, D.C.
• Drore Eisen, M.D.
• Erika Eisenberg, MSW, LISW
• Richard Eisenberg
• Eric Lawrence Eisenhauer, M.D.
• Katie Eisenhauer

• Chiropractor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.