Howard M. Eckstein, M.D.
Individual provider
Active NPI
Pediatrics Physician · Galion, OH
NPI 1497738280 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1497738280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 35073897 (OH)
- Practice address
- 270 Portland Way South
Galion, OH 44833-0270
- Phone
- (419) 468-7613
- Fax
- (419) 462-1260
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|
| 35073897 | OH | MD | Pediatrics Physician |
| MD058025L | PA | MD | Pediatrics Physician |
Practice roles
Interoperability endpoints
- FHIR API: https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pediatrics Physician |
208000000X |
MD058025L |
PA |
|
| Pediatrics Physician |
208000000X |
35073897 |
OH |
Yes |
Addresses
Primary practice location
270 Portland Way South
Galion, OH 44833-0270
Mailing address
270 Portland Way South
Galion, OH 44833-0270
Phone (419) 468-7613
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 001590618 | Medicaid | PA | |
| 0269776 | Medicaid | OH | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
heckstein481962@direct.osumc.edu |
|
|