Theresa Felicia Eichenwald, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L2230 Issued in TX

Practice address

12200 Park Central Drive
Ste 150
Dallas, TX 75251

Phone

(469) 804-8323

Fax

(469) 804-8324

NPI assigned

Sep 13, 2006

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Internal Medicine

  Medicare reassignment NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1821430166
  Medicare reassignment NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1336572759
  NPD
• Erickson Health Medical Group of Texas PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1164432639
  NPD (past)
• Lonestar Provider Network

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1194765586
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1992800486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DRIVE",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "469-804-8323",
            "fax_number": "469-804-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DRIVE",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "469-804-8323",
            "fax_number": "469-804-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENWALD",
        "first_name": "THERESA",
        "middle_name": "FELICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146607002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "260341853001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8BW701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-60996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Ehrlich, MD
• Ehs Enterprise Home Health Solutions, LLC
• Yunsha Ehtesham
• Maryam Ehtsham, MD
• Eia Surgical Group PA
• Emily Eichhorn, CRNA
• Eric Eichhorn, M.D.
• Valarie Denise Eichler, RN, PNP
• Destri Eichman
• Emily Eichman, LCSW-S, CCM

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.