Active NPI
Anita Eck, PA-C
- Physician Assistant
- Wayland, NY
National Provider Identifier
1003866401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004510
- Practice address
- 200 N Main St
Wayland, NY 14572-1034 - Phone
- (585) 728-5131
- Fax
- (585) 728-9305
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004510 | NY | Primary |
Addresses
Primary practice location
200 N Main St
Wayland, NY 14572-1034
Mailing address
PO Box 601
10869 Rte 36 South
Dansville, NY 14437-0601
Phone (585) 335-3416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000130 | NY | Practitioner - Physician Assistant | 5496898629 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004510 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1003866401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601",
"address_2": "10869 RTE 36 SOUTH",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144370601",
"telephone_number": "585-335-3416",
"fax_number": "585-335-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"city": "WAYLAND",
"state": "NY",
"postal_code": "145721034",
"telephone_number": "585-728-5131",
"fax_number": "585-728-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "ANITA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.