Active NPI
E-Wave LLC
- Sonography Specialist/Technologist Cardiovascular
- Evans, GA
National Provider Identifier
1255377123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 30538
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 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 DirectoryNPI 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.