Active NPI
Charles Eric Eckman, M.D.
- Diagnostic Radiology Physician
- Oklahoma City, OK
National Provider Identifier
1003817743
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12332
- Practice address
- 14101 Parkway Commons
Oklahoma City, OK 73134-6012 - Phone
- (405) 749-6277
- NPI assigned
- Aug 3, 2005
- Last updated
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 12332 | OK | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 12332 | OK |
Addresses
Primary practice location
14101 Parkway Commons
Oklahoma City, OK 73134-6012
Mailing address
6608 N Western Ave #422
Oklahoma City, OK 73116
Phone (405) 775-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100259370A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12332 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1003817743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 N WESTERN AVE #422",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73116",
"telephone_number": "405-775-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14101 PARKWAY COMMONS",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346012",
"telephone_number": "405-749-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "CHARLES",
"middle_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "12332",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "12332",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100259370A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Kelcy Eckels, M.A., LPC
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- Eckerd Youth Alternatives, Inc., Dba Eckerd Connects
- Jessica Hope Riess Eckert, OTR/L
- Jordan Leigh Eckert
- Susan Eckman, PMHNP
- Eclipse Counseling LLC
- Eclipse Therapy Solution
- Economy Hearing Aid Center
- Economy Hearing Aid Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.