Michael Eck, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036084777 Issued in IL

Practice address

517 N Main St
Anna, IL 62906-1668

Phone

(618) 833-4511

Fax

(618) 833-8481

NPI assigned

Oct 2, 2006

Last updated

Sep 10, 2010By the provider in NPPES

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

Practice roles

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.

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  • NPI 1295625465
  NPD Authorized official
• Yates Emergency Physicians

  • Emergency Medicine Physician
  • Anna, IL
  • NPI 1205874336
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1891888665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ECK LN",
            "city": "COBDEN",
            "state": "IL",
            "postal_code": "629203076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4511",
            "fax_number": "618-833-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawanda Dodds, MS
• Shannon Doerr, DENTAL HYGIENIST
• Kathryn Dread, BA
• John Russell Dunbar, RPH
• Shelby Dunn, AA,RN
• Jordan Edwards
• Lloyd Edwards
• David Elliott
• Julianna Evischi, LSW
• Christina Falaster, RN

• Family Medicine Physician in Anna, IL
• Providers in Anna, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.