Eileen Michelle Bishop, DO
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Lebanon, NH
NPI 1629205166 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1629205166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- RT-2664 (NH)
- Practice address
- 1 Medical Center Dr
DHMC Department of Critical Care
Lebanon, NH 03756-1000 - Phone
- (603) 650-4642
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
- Christiana Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220804000712 | MD | Practitioner - Internal Medicine |
5294989919 | Reassigns benefits to 1 organization |
| I20221108002636 | DE | Practitioner - Critical Care (Intensivists) |
5294989919 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT013158 | PA | MD | Internal Medicine Physician |
| RT-2664 | NH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services Inc. | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Critical Care Medicine | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Internal Medicine | Current |
Accepting new patients |
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600
4755 Ogletown Stanton Rd
Ste 2E70
Newark, DE 19718
Phone (302) 733-3475
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT013158 | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | RT-2664 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
DHMC Department of Critical Care
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC Department of Critical Care
Lebanon, NH 03756-1000
Phone (603) 650-4642
Other names
- Eileen Michelle Hoffner
NPI Registry JSON
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1629205166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF CRITICAL CARE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF CRITICAL CARE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "EILEEN",
"middle_name": "MICHELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT013158",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NH",
"license": "RT-2664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "HOFFNER",
"middle_name": "MICHELLE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lebanon, NH
- Ann Birner
- Brian Patrick Birner
- Adam Biron
- Michaela Bish
- Elise Bishop-Rimmer
- Emily Susan Bisson
- Brandi Bissonnette
- Candice Black
- Rebecca M Black
- William C Black
All providers in Lebanon, NH · Critical Care Medicine (Internal Medicine) Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.