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
Provider Name :Dr. Theodore Matthew Eison
Credential :MD
Gender :Male
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
Phone Number :864-454-5105
Fax Number :864-454-5689
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
NPI Entity Type : Individual
First Enrolment Date : 09 Jan, 2007
Last Updated On : 22 Mar, 2018
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
Medicare Enrollment ID :I20121119000563
Primary Specialty :Pediatric Medicine
Medical School :Medical University Of South Carolina College Of Medicine
Graduation Year :2000
Accepts Medicare?Yes. Dr. Theodore Matthew Eison accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Prisma Health University Medical Group83259509832133210 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 SpecialityPrimaryLicense No.State
2080P0210XPediatrics Pediatric NephrologyYes35122SC
2080P0210XPediatrics Pediatric NephrologyNo42534TN
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
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. Last updated on 08 January, 2024.