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NPI Code Detail

MEDICARE: DR. SANDRA ADAMS EISELE MD

MEDICARE:  DR. SANDRA ADAMS EISELE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician35050325OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2704440OTHEROHBUCKEYE MEDICARE
6H101060OTHEROHMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P01241849OTHEROHRAILROAD
4768864OTHEROHANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
74230729OTHEROHAETNA
8273088817059OTHEROHCARESOURCE

General Provider Information

NPI Number : 1255339412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA ADAMS EISELE MD
Provider Business Mailing Address
First Line : 11140 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2309
Country : US
Telephone Number : 513-271-3222
Fax Number : 513-271-3135
Provider Business Practice Location Address
First Line : 11140 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2309
Country : US
Telephone Number : 513-271-3222
Fax Number : 513-271-3135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/21/2020

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Directions to “ DR. SANDRA ADAMS EISELE MD” Practice Location

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