MICHELLE EISENHOWER M.D. – NPI #1104026350
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

MICHELLE EISENHOWER M.D. is a provider located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1104026350 to MICHELLE EISENHOWER M.D. on July 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHELLE EISENHOWER M.D. below.

NPI Profile for
MICHELLE EISENHOWER M.D.

NPI Number
1104026350
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHELLE EISENHOWER M.D.
Primary location
MICHELLE EISENHOWER M.D.
2301 S. BROAD ST., M.O.B. SUITE 201
PHILADELPHIA, PA 19148
Phone: (215) 952-9515 Fax: (215) 952-1431
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVE HILL
OFFICE MANAGER
Phone: (610) 783-5158
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
PA MD421472

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.