Organization Active NPI

Ecker Plastic Surgery Assoc Inc

  • Plastic Surgery Physician
  • Williamsport, PA
National Provider Identifier
1447394523
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD021034E Issued in PA
Legal business name
ECKER PLASTIC SURGERY ASSOC INC
Practice address
920 Washington Blvd
Williamsport, PA 17701
Phone
(570) 322-4779
Fax
(570) 322-3196
NPI assigned
Feb 20, 2007
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Herbert A Ecker Jr., M.D.
Title
President
Phone
(570) 322-4779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MD021034E PA
Plastic Surgery Physician 208200000X MD021034E PA Primary

Addresses

Primary practice location

920 Washington Blvd
Williamsport, PA 17701

Mailing address

920 Washington Blvd
Williamsport, PA 17701
Phone (570) 322-4779

Other identifiers 2

IdentifierTypeStateIssuer
072535OtherPAFIRST PRIORITY HEALTH
132338OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

920 Washington Blvd
Williamsport, PA 17701
Phone (570) 322-4770

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1447394523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-322-4779",
            "fax_number": "570-322-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-322-4779",
            "fax_number": "570-322-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKER PLASTIC SURGERY ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ECKER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-322-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "MD021034E",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD021034E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "072535",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "132338",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.