John Charles Eisley, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003714L Issued in PA

Practice address

447 W Main St
Monongahela, PA 15063-2564

Phone

(724) 258-2070

Fax

(724) 258-3582

NPI assigned

May 24, 2005

Last updated

Mar 5, 2008By 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

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monview Family Medical Center, P.C.

  • Family Medicine Physician
  • Monongahela, PA
  • NPI 1881650380
  NPD (past) Authorized official
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • Family Medicine Physician
  • Finleyville, PA
  • NPI 1750237327
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1811990674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632564",
            "telephone_number": "724-258-2070",
            "fax_number": "724-258-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632564",
            "telephone_number": "724-258-2070",
            "fax_number": "724-258-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISLEY",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003714L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "53859",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0075062",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "0B29927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811990674",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH CARE",
            "identifier": "88888",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ADVANTRA",
            "identifier": "0B29927",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010778890002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HMO",
            "identifier": "0B29927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "303978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Michelle Dubos, PT
• Andrea Loreen Dugan, CRNP
• Dynamic Imaging Services, Inc.
• Eagle Emergency Care, PC
• Lori Edkins, PA-C
• Seema Ekbote
• Mary Beth Elliott, CRNA
• Enrico Nicolo, M.D. PC
• ER Dermatology Inc (Bliss Dermatology)
• Brandi Eutsey, CRNP

• Family Medicine Physician in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.