Organization Active NPI

E-Wave LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Evans, GA
National Provider Identifier
1255377123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
30538 Issued in GA
Legal business name
E-WAVE LLC
Practice address
427 N Belair Rd
Evans, GA 30809-3003
Phone
(706) 294-8613
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Rex Eckler, RT, RDCS
Title
Ceo
Phone
(706) 294-8613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 30538 GA Primary

Addresses

Primary practice location

427 N Belair Rd
Evans, GA 30809-3003

Mailing address

4157 Eagle Nest Dr
Evans, GA 30809-4809
Phone (706) 294-8613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255377123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 EAGLE NEST DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094809",
            "telephone_number": "706-294-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093003",
            "telephone_number": "706-294-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-WAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-294-8613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT, RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "GA",
            "license": "30538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.