Charles Ross Eck Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D31712 Issued in MD

Practice address

9 Schilling Rd
Suite 102
Hunt Valley, MD 21031-1191

Phone

(410) 771-9220

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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 FL

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

Internal Medicine

Education

University of Maryland School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Vizavee Urgent and Primary Care, LLCGroup PAC ID 1557764784, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.eck.1@24264.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4

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.

• Vizavee Urgent & Primary Care, LLC

  • Family Medicine Physician
  • Wildwood, FL
  • NPI 1821665886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367107200000",
    "number": "1518939743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD",
            "address_2": "SUITE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311191",
            "telephone_number": "410-771-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD",
            "address_2": "SUITE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311191",
            "telephone_number": "410-771-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "CHARLES",
        "middle_name": "ROSS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D31712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Tu Mi Mi Duong-Gaudio, LCPC
• Simon Duvall
• Michele Jacqueline Dzula, OTR
• Earth Holistic Home Care, LLC
• Dazia Ebberts
• Ernest Gregory Eckenrode IV, PA-C
• Eden Adult Medical Daycare Center, Inc.
• Paula Peach Ehrmann, MS LCPC
• Shanice Elcock
• Rachel Ellinport

• Internal Medicine Physician in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; 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.