Active NPI
John A Eckman, M.D.
- Allergy & Immunology Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 35. 093231
- Practice address
- 10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472 - Phone
- (513) 793-6861
- Fax
- (513) 985-2743
- NPI assigned
- Dec 9, 2006
- Last updated
- May 6, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 35. 093231 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35 093231 | OH | |
| Internal Medicine Physician | 207R00000X | D62806 | MD | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | D62806 | MD |
Addresses
Primary practice location
10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472
Mailing address
10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472
Phone (513) 793-6861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409289900 | Medicaid | MD | |
| EC4268931 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Cincinnati College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10597 Montgomery Rd
Suite 200
Montgomery, OH 45242-0230
Phone (513) 793-6861
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35. 093231 | OH | MD | Allergy & Immunology Physician |
| 35 093231 | OH | MD | Internal Medicine Physician |
| D62806 | MD | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates Inc | Allergy & Immunology | Current | Accepting new patients |
| R Carter Bobbitt MD Inc | Allergy & Immunology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10597 Montgomery Rd
Ste 200
Montgomery, OH 45242
Phone (513) 793-6861
7144 Office Park Dr
West Chester, OH 45069
Phone (513) 793-6861
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Cincinnati, OH
- NPI 1336294248
-
- Allergy & Immunology Physician
- Cincinnati, OH
- NPI 1497882047
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1083774327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10597 MONTGOMERY RD STE 200",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424472",
"telephone_number": "513-793-6861",
"fax_number": "513-985-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10597 MONTGOMERY RD STE 200",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424472",
"telephone_number": "513-793-6861",
"fax_number": "513-985-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "JOHN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "35. 093231",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35 093231",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D62806",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "MD",
"license": "D62806",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409289900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "EC4268931",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.