Active NPI
Alan R Ecker, MD
- Ophthalmology Physician
- Madison, CT
National Provider Identifier
1831207018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 026251
- Practice address
- 11 Woodland Rd
Madison, CT 06443 - Phone
- (203) 245-4242
- Fax
- (203) 245-3164
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 026251 | CT | Primary |
Addresses
Primary practice location
11 Woodland Rd
Madison, CT 06443
Mailing address
11 Woodland Rd
Madison, CT 06443
Phone (203) 245-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001262518 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026251 | CT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322956800000",
"number": "1831207018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WOODLAND RD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-4242",
"fax_number": "203-245-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WOODLAND RD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-4242",
"fax_number": "203-245-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKER",
"first_name": "ALAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2011-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "026251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001262518",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.