Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265750608 Individual Practitioner Female Practitioner

Eileen Jane Ebenger , PA-C

Physician Assistant - Medical • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Eileen Ebenger, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Dayton, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Dayton, OH 454335529

Telephone 9372579700
Associated Practice Facility / Clinic
🏢 Dfas-Jfll/in Facility NPI 1164892949

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Dayton, OH (863 Statewide)

Telehealth Adoption Rate
2.1% 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

CMS Verified: 2021-08-25
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License OH 50.003155

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Kent Palmer , ARNP-BC

Nurse Practitioner - Family

NPI 1336369545

ARNPBC

NPI 1528059557

Doctor of Medicine (M.D.)

NPI 1568401172

Doctor of Medicine (M.D.)

Dr. Elmer Wahl , MD

Family Medicine

NPI 1669419727

Doctor of Medicine (M.D.)

NPI 1669441622

Doctor of Medicine (M.D.)

Dr. Lori Sansone , MD

Family Medicine

NPI 1770573826

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 26, 2021

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529 (Tel: 9372579700)

📍
Updated Business Mailing Address August 26, 2021

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529

📍
Updated Business Mailing Address April 12, 2018

Registered at 422 MDS/SGOP, RAF CROUGHTON, UNIT 4628, APO AE, AL 094944628

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Physician Assistant (License #50.003155 in OH)

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2011

Registered at 4881 SUGAR MAPLE DR BLDG 830, 88 MDG/MDOS/SGOP, DAYTON, OH 454335529 (Tel: 9372579700)

📍
Updated Business Mailing Address June 15, 2011

Registered at 4881 SUGAR MAPLE DR BLDG 830, 88 MDG/MDOS/SGOP, DAYTON, OH 454335529

👤
Provider Name / Credentials Updated June 15, 2011

Recorded as EILEEN EBENGER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 10, 2010

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: 1265750608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2010
Last Update: August 26, 2021
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Dayton, OH 454335529

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.