KRISTINA MARIE EILBACHER PA-C LATC CSCS NPI 1164708558

NPI Information

NPI: 1164708558
Provider Name: KRISTINA MARIE EILBACHER, PA-C, LATC, CSCS
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2301 ERWIN RD
DURHAM, NC
ZIP 27705
Phone: (919) 970-4229
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Kristina Marie Eilbacher, PA-C, LATC, CSCS is a surgical physician assistant in Durham, NC with 10 years of experience. Kristina Marie Eilbacher, PA-C, LATC, CSCS NPI is 1164708558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

2301 ERWIN RD
DURHAM, NC
ZIP 27705-699
Phone: (919) 970-4229

The NPI 1164708558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2011 and was last updated on 10/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer	001924-1	NEW YORK	No
2	2255A2300X	Specialist/Technologist	Athletic Trainer	000669	CONNECTICUT	No
3	363AS0400X	Physician Assistant	Surgical	0010-05259	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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