Individual ProviderStephanie Michelle EiswertAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1901 Research Blvd, 350, Rockville, MD 20850-3164(301) 838-9606PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Michelle Eiswert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1700831674Provider TypeIndividualFull NameEiswert, Stephanie MichelleCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/22/2006Last Updated3/12/2009Contact InformationPractice LocationPractice Address1901 Research Blvd, 350, Rockville, MD 20850-3164Phone(301) 838-9606FaxUnlisted FaxMailing LocationMailing Address3001 Jackson Ridge Ct, Phoenix, MD 21131-1459PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD60317MarylandProvider IdentifiersIDDescriptionIssuerID403074500DescriptionMedicaidIssuerUnlistedMarylandID601285800DescriptionOtherIssuerFECA