Provider Demographics
NPI:1255373056
Name:EICHELBERGER, JAMES P (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:EICHELBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 679B
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-7700
Mailing Address - Fax:585-341-4213
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0002
Practice Address - Country:US
Practice Address - Phone:585-341-7700
Practice Address - Fax:585-341-4213
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY181722207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000406085301OtherUNIVERA
NY110082613OtherMEDICARE RAILROAD
NY5857074OtherAETNA
NYNY0017518OtherCHAMPUS
NY0191872OtherINDEPENDENT HEALTH
NY005241941OtherBC/BS OF WESTERN NY
NYMD451UOtherPREFERRED CARE
NYP010181722OtherBLUE CHOICE
NY01225483Medicaid
NY2596OtherBLUE SHIELD
NY000406085301OtherUNIVERA
NY005241941OtherBC/BS OF WESTERN NY