Active NPI
Jutta M Eichelman, MD
- Neurology Physician
- Winthrop, ME
National Provider Identifier
1851481626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 013795
- Practice address
- Augusta Neurology, PA
17 North Heritage Woods Lane
Winthrop, ME 04364-5728 - Phone
- (207) 395-2590
- Fax
- (207) 395-2077
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 013795 | ME | Primary |
Addresses
Primary practice location
Augusta Neurology, PA
17 North Heritage Woods Lane
Winthrop, ME 04364-5728
Mailing address
17 N Heritage Woods LN
Winthrop, ME 04364-3238
Phone (207) 395-2590
Other names 1
- Jutta Margarete Eckert-Eichelman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013795 | ME | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington Medical Associates | Neurology | Past | Accepting new patients |
| Mainegeneral Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Neurology Physician
- Skowhegan, ME
- NPI 1336179084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851481626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N HERITAGE WOODS LN",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043643238",
"telephone_number": "207-395-2590",
"fax_number": "207-395-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AUGUSTA NEUROLOGY, PA",
"address_2": "17 NORTH HERITAGE WOODS LANE",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043645728",
"telephone_number": "207-395-2590",
"fax_number": "207-395-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHELMAN",
"first_name": "JUTTA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ME",
"license": "013795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUTTA",
"last_name": "ECKERT-EICHELMAN",
"middle_name": "MARGARETE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winthrop, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.