Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003804402 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Eisenhower , MD

Pathology - Anatomic Pathology & Clinical Pathology • Hershey, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Eisenhower has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2005
NPI Deactivation Date February 27, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Eisenhower, MD was a registered Pathology - Anatomic Pathology & Clinical Pathology practicing in Hershey, PA. Throughout an active medical career spanning 20 years, Dr. Eisenhower provided care at the practice location at 500 UNIVERSITY DR until profile deactivation on 2025-02-27.

Practice Location & Contact Primary Location

Practice Address

500 University Dr

Hershey, PA 170332360

Telephone 8002431455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Hershey, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Hershey, PA (766 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License PA MD019648E

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tarik Ali , MD

Surgery - Vascular Surgery

NPI 1003172867

Doctor of Medicine (M.D.)

Dr. Kanthi Bangalore Krishna , MBBS

Pediatrics - Pediatric Endocrinology

NPI 1003197807

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Ntiege Ngwane , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003283276

Certified Registered Nurse Anesthetist

Dr. Moein Jafari , MD

Internal Medicine - Hematology & Oncology

NPI 1003308990

Doctor of Medicine (M.D.)

NPI 1003349309

Doctor of Medicine (M.D.)

Dr. Amy Miller , PT, DPT

Physical Therapist

NPI 1003364506

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2025

Record deactivated on February 27, 2025

NPI Profile Active July 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2011

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

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Updated Business Mailing Address July 25, 2011

Registered at PO BOX 858, MC A410, HERSHEY, PA 170330858 (Tel: 8002431455)

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Provider Name / Credentials Updated July 25, 2011

Recorded as EDWARD EISENHOWER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2011

Pathology (License #MD019648E in PA)

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Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003804402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: July 25, 2011
Deactivation Date: February 27, 2025

Mailing Address

Po Box 858, Mc A410

Hershey, PA 170330858

Phone: 8002431455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.