Eccles Medical, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-7083 Issued in AR

Legal business name

ECCLES MEDICAL, P.A.

Practice address

67 W Main St
Suite 3
Booneville, AR 72927-3642

Phone

(479) 675-3300

Fax

(479) 675-3301

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Eccles

Title

Office Manager

Phone

(479) 675-3300

Specialties & licenses 2

Addresses

Other names 1

• Eccles Pediatric & Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1598023285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273642",
            "telephone_number": "479-675-3300",
            "fax_number": "479-675-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273642",
            "telephone_number": "479-675-3300",
            "fax_number": "479-675-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCLES MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "ECCLES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-675-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7083",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eccles Pediatric & Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Daniel, PHARMD
• Andrew David Daniel, MD
• David V. Zarlingo D.D.S., P.a.
• John M (Monty) Davis, PHYSICAL THERAPIST
• Bridget Duke
• Hannah Grace Eveld
• Orville Moses Geddes
• Edward Larry Gills, M.D.
• Julie Elizabeth Greek, APN
• James A. Hale, D.C.

• Pediatrics Physician in Booneville, AR
• Providers in Booneville, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.