Scott Eccarius, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

SD3450 Issued in SD

Practice address

631 Saint Anne St
Suite 103
Rapid City, SD 57701-4678

Phone

(605) 343-4120

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2497/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eccarius Eye Clinic, PC

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1518175330
  NPD Authorized official
• Eccarius Eye Clinic, PC

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1922215482
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1033166459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014678",
            "telephone_number": "605-343-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014678",
            "telephone_number": "605-343-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECCARIUS",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "SD3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S2468",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6300422",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Ellen Eaton-Harris, NCC, LPC
• David Bruce Eaton, MD
• Eb Whillock DDS, LTD.
• Eccarius Eye Clinic, PC
• Eccarius Eye Clinic, PC
• Stephen G.J. Eckrich, MD
• Rachel C Edelen, MD
• Kayla Nichole Ederveen
• Edgewood Rapid City LLC
• Edward J. Lynch, DDS, PC

• Ophthalmology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.

Verify at the official NPI Registry.