MICHELLE EISENHOWER M.D.
NPI 1104026350
Family Medicine - Adolescent Medicine in Philadelphia, PA

Q: What is Michelle Eisenhower M.D.'s NPI number?

The NPI number for Michelle Eisenhower M.D. is 1104026350. It was assigned to this organization in the NPPES registry on July 24, 2007.

Q: What is Michelle Eisenhower M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Active since July 24, 2007

MICHELLE EISENHOWER M.D., 2301 S. BROAD ST., M.O.B. SUITE 201, PHILADELPHIA, PA 19148(215) 952-9515(215) 952-1431 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michelle Eisenhower M.d. NPPES

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

MICHELLE EISENHOWER M.D. (NPI 1104026350) is a healthcare organization registered as an adolescent medicine in Philadelphia, Pennsylvania and active in the NPI registry since July 2007. The organization lists Dave R Hill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104026350

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameMICHELLE EISENHOWER M.D.

Location AddressMICHELLE EISENHOWER M.D., 2301 S. BROAD ST., M.O.B. SUITE 201Philadelphia, PA 19148

Mailing AddressMichelle Eisenhower M.d., 500 William Ebbs La.West Chester, PA 19380 · (215) 952-9515 · Fax (215) 952-1431

Phone(215) 952-9515

Fax(215) 952-1431

Organization SubpartNo

Authorized OfficialDave R HillOffice Manager · (610) 783-5158

Enumeration DateJuly 24, 2007

✔ NPI 1104026350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

License✔ Licensed in PA · MD421472

Definition

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., Philadelphia, PA 19148

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Other Identifiers 2

Medicare UPINH83063PA

Medicare PIN069423PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Michelle Eisenhower M.D.'s NPI number?

The NPI number for Michelle Eisenhower M.D. is 1104026350. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Michelle Eisenhower M.D. located?

Michelle Eisenhower M.D. is located at Michelle Eisenhower M.D. 2301 S. Broad St., M.O.B. Suite 201, Philadelphia, PA 19148. The listed phone number is (215) 952-9515.

What is Michelle Eisenhower M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Michelle Eisenhower M.D. was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.