Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Nicholas Eisenhauer IV, MD

Individual provider Surgery Physician · NPI 1275775587

Charles Nicholas Eisenhauer IV, MD is a Surgery Physician in Memphis, Tennessee. Works from 2 locations. Licensed in Kentucky, Minnesota and Tennessee.

Licensed in
KY, MN, TN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6029 Walnut Grove Rd Ste 404
Memphis, TN 38120-2112
Phone: (901) 726-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3320 Marcus Cv, Bartlett, TN 38134-2800 — (901) 607-2934

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 71735 (MN)
Surgery Physician Taxonomy 208600000X · Licence P (KY)
Surgery Physician Taxonomy 208600000X · Licence 57079 (TN)

Record details

NPI number1275775587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

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