Organization Active NPI

Eckardt Johanning, M.D., P.C.

  • Specialist
  • Albany, NY
National Provider Identifier
1598945974
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1752781 Issued in NY
Legal business name
ECKARDT JOHANNING, M.D., P.C.
Practice address
4 Executive Park Dr
Albany, NY 12203-3718
Phone
(518) 459-3336
Fax
(518) 459-4646
NPI assigned
Nov 14, 2007
Organization subpart
Yes
Parent organization
ECKARDT JOHANNING, M.D. P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Eckardt Johanning, M.D., P.C.NPI 1144396656
Title
Physician
Phone
(518) 459-3336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1752781 NY Primary

Addresses

Primary practice location

4 Executive Park Dr
Albany, NY 12203-3718

Mailing address

4 Executive Park Drive
Albany, NY 12203-3717
Phone (518) 459-3336

Other names 1

  • eckardt johanning Other name

National Provider Directory

National Provider Directory
Part of
Eckardt Johanning MD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1598945974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE PARK DRIVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033717",
            "telephone_number": "518-459-3336",
            "fax_number": "518-459-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE PARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033718",
            "telephone_number": "518-459-3336",
            "fax_number": "518-459-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKARDT JOHANNING, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECKARDT JOHANNING, M.D. P.C.",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "JOHANNING",
        "authorized_official_first_name": "ECKARDT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-459-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1752781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eckardt johanning",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.