Jerald Eckman

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

57.026858 Issued in OH

Practice address

8645 Mallard Cir
Plain City, OH 43064-6004

Phone

(610) 250-4000

NPI assigned

Jul 1, 2014

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Radiology Associates of Canton IncGroup PAC ID 7012829260, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aultman Now Urgent Care, LLC

  • Urgent Care Clinic/Center
  • North Canton, OH
  • NPI 1225662927
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034
  Medicare reassignment Care Compare group NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  dba MHPY SPC - Howland Imaging

  • Diagnostic Radiology Physician
  • Warren, OH
  • NPI 1255009601
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Radiology Associates of Canton, Inc

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1689842122
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1356756159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 STEVENSON DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 MALLARD CIR",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430646004",
            "telephone_number": "610-250-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "JERALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "57.026858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A. Dick
• William Arnold Diedrich, MD
• Dublin Jerome Eyecare LLC
• Dundar Counseling and Consultation, LLC
• Renee M Dvorsky, RPH
• Edgewater Place, Inc.
• Elite Mobility Solutions LLC
• Emily Elswick
• Patricia Fadairo
• Elizabeth Files

• Diagnostic Radiology Physician in Plain City, OH
• Providers in Plain City, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.

Verify at the official NPI Registry.