EILEEN JANE EBENGER PA-C
NPI 1265750608
Physician Assistant - Medical in Dayton, OH
About Eileen Jane Ebenger Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EILEEN JANE EBENGER PA-C (NPI 1265750608) is an individual medical provider in Dayton, Ohio, licensed in Ohio (50.003155) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eileen Jane Ebenger Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
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 Eileen Ebenger's NPI number?
The NPI number for Eileen Ebenger is 1265750608. It was assigned to this individual provider in the NPPES registry on May 10, 2010.
Where is Eileen Ebenger located?
Eileen Ebenger practices at 4881 Sugar Maple Dr, Dayton, OH 45433. The listed phone number is (937) 257-9700.
What is Eileen Ebenger's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Eileen Ebenger enrolled in Medicare?
Yes. Eileen Ebenger is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Eileen Ebenger was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Eileen Jane Ebenger, PA-C · NPI 1265750608
Medical physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since May 10, 2010.
## Identity
- **NPI:** 1265750608 (Entity type: Individual)
- **Enumerated:** May 10, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 50.003155 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4881 SUGAR MAPLE DR, Dayton, OH 45433-5529
- **Phone:** (937) 257-9700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265750608) · Data from the CMS NPPES public registry.