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DR. WALTER R EISEMAN MD
NPI 1063494169
Radiology - Diagnostic Radiology in Edgewood, KY

Active since November 16, 2005
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2160(859) 301-3932 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Walter R Eiseman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER R EISEMAN MD (NPI 1063494169) is an individual diagnostic radiology provider in Edgewood, Kentucky, licensed in Kentucky (15233) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1063494169
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. WALTER R EISEMANCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 932163Cleveland, OH 44193-0001 · (586) 412-4000 · Fax (586) 412-4100
Phone(859) 301-2160
Fax(859) 301-3932
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateAugust 8, 2013
✔ NPI 1063494169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in KY · 15233
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Other Identifiers 5

Medicaid2699263OH
Other300013432Rrmc
Medicare UPINC72727
Medicare PIN1269605KY
Medicaid64152333KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
DR. KELLY ANN MACKESSY DO
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Eiseman's NPI number?

The NPI number for Walter Eiseman is 1063494169. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Walter Eiseman located?

Walter Eiseman practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-2160.

What is Walter Eiseman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Walter Eiseman was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.