Walter W Eckman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

10863 Issued in MS

Practice address

408 Council Cir
Tupelo, MS 38801-4949

Phone

(662) 841-7585

Fax

(662) 841-2667

NPI assigned

Aug 24, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1699768754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3660",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033660",
            "telephone_number": "662-841-7585",
            "fax_number": "662-841-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 COUNCIL CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014949",
            "telephone_number": "662-841-7585",
            "fax_number": "662-841-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "WALTER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "10863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Eble, CRNA
• Krystal Echoles, PCMHT
• Lajaysha Echoles, FNP-BC
• Dax M Eckard, OD
• Elizabeth Eckard, O.D.
• Ed Holliday, D.M.D., Inc.
• Katherine E Ederer, PMHNP
• Lindsay Claire Edmondson, NURSE PRACTITIONER
• Marshall Gray Edmondson, M.D.
• William R Edmonson, MD

• Specialist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.