Individual provider Active NPI

Robert A Ecker, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1194701284
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-04-4576 Issued in OH
Practice address
4885 Olentangy River Rd
Suite 2-50
Columbus, OH 43214-1926
Phone
(614) 451-1551
Fax
(614) 451-2326
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-04-4576 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd
Suite 2-50
Columbus, OH 43214-1926

Mailing address

4885 Olentangy River Rd
Suite 2-50
Columbus, OH 43214-1926
Phone (614) 451-1551

Other identifiers 1

IdentifierTypeStateIssuer
0611609MedicaidOH

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

Interoperability endpoints

  • Direct secure messaging: robert.ecker.1@17598.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1194701284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD",
            "address_2": "SUITE 2-50",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141926",
            "telephone_number": "614-451-1551",
            "fax_number": "614-451-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD",
            "address_2": "SUITE 2-50",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141926",
            "telephone_number": "614-451-1551",
            "fax_number": "614-451-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-04-4576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.