Dr. Theodore Matthew Eison
MD | Pediatric Nephrology | Male
Dr. Theodore Matthew Eison, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Theodore Matthew Eison is
200 Patewood Dr Ste A115, Greenville, South Carolina - 29615-3547. He can be contacted on phone at
864-454-5105 and fax number 864-454-5689.
Dr. Theodore Matthew Eison is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Theodore Matthew Eison is
1184773582 which was assigned by NPPES on 09 Jan, 2007 and it was last updated on 22 Mar, 2018.
Dr. Theodore Matthew Eison license number is
35122 for Pediatrics Pediatric Nephrology (2080P0210X) in South Carolina.
Dr. Theodore Matthew Eison deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Theodore Matthew Eison basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Dr. Theodore Matthew Eison |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Theodore Matthew Eison 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 : | 200 Patewood Dr Ste A115
Greenville, SC, 29615-3547
United States |
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| Phone Number : | 864-454-5105 |
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| Fax Number : | 864-454-5689 |
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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 : | 1184773582 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jan, 2007 |
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| Last Updated On : | 22 Mar, 2018 |
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Medicare Participation:
Dr. Theodore Matthew Eison participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2567459027 |
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| Medicare Enrollment ID : | I20121119000563 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Medical University Of South Carolina College Of Medicine |
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| Graduation Year : | 2000 |
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| Accepts Medicare? | Yes. Dr. Theodore Matthew Eison accepts medicare insurance. |
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Group Practice Association:
Dr. Theodore Matthew Eison 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. Theodore Matthew Eison 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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| Prisma Health University Medical Group | 8325950983 | 2133 | 210 Freeman Farm Rd
Duncan, SC - 293349398
Ph: 8649685123 | 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. Theodore Matthew Eison are as mentioned. Primary taxonomy code for Dr. Theodore Matthew Eison, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 35122 | SC |
| 2080P0210X | Pediatrics Pediatric Nephrology | No | 42534 | TN |
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 : | 1 Independence Pt Ste 212
Greenville, SC, 29615-4536
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Theodore Matthew Eison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.