Active NPI
Frederick J Eck, MD
- Internal Medicine Physician
- Vail, CO
National Provider Identifier
1013987031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17272
- Practice address
- 181 W Meadow Dr
800
Vail, CO 81657-5242 - Phone
- (970) 476-7600
- Fax
- (970) 476-5676
- NPI assigned
- Jan 23, 2006
- Last updated
- Aug 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17272 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
800
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
800
Vail, CO 81657-5242
Phone (970) 476-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01172725 | Medicaid | CO |
Other names 1
- Jack Eck
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, PC | Internal Medicine | Past | Accepting new patients |
| VVMC Diversified Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1013987031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "800",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-7600",
"fax_number": "970-476-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "800",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-7600",
"fax_number": "970-476-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "FREDERICK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "17272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01172725",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACK",
"last_name": "ECK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vail, CO
- Leah Ilene Dvorkin, PA-C, ATC, OT-SC
- Eagle Valley Behavioral Health
- Eagle Valley Mental Health (EVBH at Vail Health Hospital)
- Eagle Valley Mental Health (Eagle Valley Behavioral Health)
- Sarah Christine Eberle
- Mark Smith Ekins, PHARM.D.
- Padab El-Alayli, CRNA, APN, RN
- Jamie Barrie Elchenko, M.D.
- Bryant P Elrick, MD, MS
- Douglas Emerson, PT, DPT, OCS, CMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.