Michael S. Eickerman M.D. PS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MICHAEL S. EICKERMAN M.D. PS

Practice address

14841 179TH Ave SE Ste 140
Monroe, WA 98272-1127

Phone

(360) 794-1415

Fax

(360) 805-3456

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Eickerman, M.D.NPI 1841200755

Title

General Surgeon

Phone

(360) 794-1415

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Scott Eickerman, MD

  • Surgery Physician
  • Monroe, WA
  • NPI 1841200755
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548368798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19030 LENTON PL SE PMB 608",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721353",
            "telephone_number": "360-794-1415",
            "fax_number": "360-805-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 140",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-794-1415",
            "fax_number": "360-805-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. EICKERMAN M.D. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EICKERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "360-794-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103571",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee McManus, RPH
• Rhonda Christine Medicinewater
• Sarah Katherine Megahee, DPT
• Loretta Ann Meisburger, LMP
• Stephanie Marie Melvin, LMP
• Darlene Patricia Miller-Turner, RN
• Jamie L Miller, LMP
• Jordan David Miller, SUDP
• Lisa Marie Miller, ARNP
• Nicholas Allen Miller, DDS

• Surgery Physician in Monroe, WA
• Providers in Monroe, WA by specialty
• Surgery Physician in Washington

• 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.