# EHRENTRAUD JOHANNA EICHELBAUM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255518486
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | U7674 | TX | — |
| 208D00000X | General Practice Physician | 18573 | PR | — |
| 208D00000X | General Practice Physician | ME140028 | FL | — |
| 208D00000X | General Practice Physician | U7674 | TX | Yes |
| 246ZS0410X | Surgical Technologist | 238000185 | IL | — |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 07/24/2026