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Charles Nicholas Eisenhauer IV, M.D.

Surgery Physician in Memphis, TN · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275775587

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Registry record

Entity type Individual (Type 1)
Name Charles Nicholas Eisenhauer IV
Credential M.D.
Sex Male
Practice address 6029 Walnut Grove Rd Ste 404, Memphis, TN, 38120
Enumeration date Apr 1, 2009
Last updated in NPPES Jul 5, 2022

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License P (KY) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 71735 (MN) Primary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 57079 (TN) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
57079 Other TN TN STATE LICENSE
48491 Other KY KY STATE LICENSE
0148667 Medicaid OH -
7100133120 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Charles Eisenhauer?
Charles Eisenhauer is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-05.