EHRENTRAUD JOHANNA EICHELBAUM M.D. NPI 1255518486

NPI Information

  • NPI: 1255518486
  • Provider Name: EHRENTRAUD JOHANNA EICHELBAUM, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 212 S FLORIDA ST
    BUSHNELL, FL
    ZIP 33513
  • Phone: (352) 793-2441

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NPI Details

Ehrentraud Johanna Eichelbaum, M.D. is a general practice in Bushnell, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ehrentraud Johanna Eichelbaum, M.D. NPI is 1255518486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

212 S FLORIDA ST
BUSHNELL, FL
ZIP 33513-703
Phone: (352) 793-2441
Fax: (352) 793-3282

The NPI 1255518486 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Urinalysis, manual test (HCPCS:81002)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Liver function blood test panel (HCPCS:80076)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 1/30/2008 and was last updated on 6/5/2019.

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
1246ZS0410XSpecialist/Technologist, OtherSurgical Technologist238000185ILLINOISNo
2208D00000XGeneral Practice18573PUERTO RICONo
3208D00000XGeneral PracticeME140028FLORIDAYes

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: 11/21/2025

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