Carole L Eisen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME017193E Issued in PA

Practice address

One Medical Center Blvd., Care Management Dept.
Crozer Chester Medical Center
Upland, PA 19013-3995

Phone

(610) 447-2618

Fax

(610) 447-6028

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carole Eisen Goodkin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1982058178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD., CARE MANAGEMENT DEPT.",
            "address_2": "CROZER CHESTER MEDICAL CENTER",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-447-2618",
            "fax_number": "610-447-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD., CARE MANAGEMENT DEPT.",
            "address_2": "CROZER CHESTER MEDICAL CENTER",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-447-2618",
            "fax_number": "610-447-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "CAROLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "ME017193E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "GOODKIN",
            "middle_name": "EISEN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Upland, PA
• Providers in Upland, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.