Evelyn Eccles, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301043902 Issued in MI

Legal business name

EVELYN ECCLES, MD

Practice address

122 W Main St
Box 570
Manchester, MI 48158-1002

Phone

(734) 428-8381

Fax

(734) 428-9066

NPI assigned

Jun 9, 2007

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evelyn Eccles, MDNPI 1366533689

Title

Owner

Phone

(734) 428-8381

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Evelyn Eccles, MD

  • Family Medicine Physician
  • Manchester, MI
  • NPI 1366533689
  NPD (past) Authorized official
• Dori P Tamagne, MD

  • Family Medicine Physician
  • Brooklyn, MI
  • NPI 1568521458
  NPD (past)

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1679776264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "address_2": "BOX 570",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481581002",
            "telephone_number": "734-428-8381",
            "fax_number": "734-428-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "address_2": "BOX 570",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481581002",
            "telephone_number": "734-428-8381",
            "fax_number": "734-428-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN ECCLES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-09",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "ECCLES",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-428-8381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301043902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Burkhardt-Sidebottom, LMSW
• Allan R Currey, D.D.S.
• Jay Michael Demski, PHARM.D.
• Miranda Eberle, DDS
• Evelyn Eccles, MD
• Claudia J Fall, PMHNP-BC
• Brooke Fuller, AT, ATC
• Great Lakes Bay Health Centers
• Debra Hauser, PT
• Gary V Haynes, PA

• Family Medicine Physician in Manchester, MI
• Providers in Manchester, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.