Dr. Randy E Eisenhut
MD | Pediatrics | Male
Dr. Randy E Eisenhut, MD is a Dayton, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Randy E Eisenhut is
6551 Centerville Business Pkwy Ste 110, Dayton, Ohio - 45459-2696. He can be contacted on phone at
937-291-6850 and fax number 947-291-6896.
Dr. Randy E Eisenhut is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Randy E Eisenhut is
1174580948 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 22 Jul, 2020.
Dr. Randy E Eisenhut license number is
35058652E for Pediatrics (208000000X) in Ohio.
Dr. Randy E Eisenhut is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Randy E Eisenhut basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Randy E Eisenhut |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Randy E Eisenhut address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6551 Centerville Business Pkwy Ste 110
Dayton, OH, 45459-2696
United States |
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| Phone Number : | 937-291-6850 |
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| Fax Number : | 947-291-6896 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174580948 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Apr, 2006 |
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| Last Updated On : | 22 Jul, 2020 |
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Medicare Participation:
Dr. Randy E Eisenhut participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4284847021 |
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| Medicare Enrollment ID : | I20160829000339 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Kansas School Of Med (kc/wich/sal) |
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| Graduation Year : | 1998 |
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| Accepts Medicare? | Yes. Dr. Randy E Eisenhut accepts medicare insurance. |
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Group Practice Association:
Dr. Randy E Eisenhut is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Randy E Eisenhut is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Premier Integrated Medical Associates Ltd | 9032101399 | 23 | 6551 Centerville Business Pkwy
Suite 100
Dayton, OH - 454592686
Ph: 9372916830 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randy E Eisenhut are as mentioned. Primary taxonomy code for Dr. Randy E Eisenhut, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 35058652E | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Randy E Eisenhut such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0817638 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 25 Merchant St, Ste. 220
Cincinnati, OH, 45246-3700
United States |
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| Phone Number : | 937-291-6850 |
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| Fax Number : | 937-291-6896 |
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Business Location:
Patients can refer following map for directions to
Dr. Randy E Eisenhut practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.