Michelle Eckert, M. D., PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

E2626 Issued in AR

Legal business name

MICHELLE ECKERT, M. D., PA

Practice address

1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365

Phone

(870) 534-4188

Fax

(870) 534-7964

NPI assigned

Jan 6, 2010

Last updated

Jan 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Eckert, MDNPI 1295700904

Title

Owner

Phone

(870) 534-4188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Eckert, MD

  • Surgery Physician
  • Pine Bluff, AR
  • NPI 1295700904
  Authorized official Same address or phone

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1356671838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 403",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036365",
            "telephone_number": "870-534-4188",
            "fax_number": "870-534-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 403",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036365",
            "telephone_number": "870-534-4188",
            "fax_number": "870-534-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE ECKERT, M. D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-534-4188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "E2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142276001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Shawn Metcalf, MSN, APRN, FNP-C
• Julia Mae Meyer, PA-C
• Michael D. Clark, DDS, PA
• Michael J. Sutherland, MD, PA
• Michele a Pashkevich MD PA
• Toni L Middleton, MD
• Mike S. McFarland Mdpa
• Chinedu Michael Mike-Eneh, M.B.B.S
• Diana Gray Millenbaugh, MSN, RNP, BC
• Felecia K Miller

• Medical Specialty Clinic/Center in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Medical Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.