Richard Russell Eckert, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101-047832 Issued in VA

Practice address

4370 Starkey Rd
Suite 4-C
Roanoke, VA 24018-0603

Phone

(540) 989-4100

Fax

(540) 989-3667

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1982652988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 STARKEY RD",
            "address_2": "SUITE 4-C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180603",
            "telephone_number": "540-989-4100",
            "fax_number": "540-989-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 STARKEY RD",
            "address_2": "SUITE 4-C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180603",
            "telephone_number": "540-989-4100",
            "fax_number": "540-989-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "RICHARD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101-047832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "222413",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "217216",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "542009280-01",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "0004252599",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie A Ebel, PT
• John L. Eby, Jr., DDS
• Deborah K Echternach, PT
• Jaimie Echternach
• Kim Eckenroth, NP-C
• Sherry P. Eckert, MSN
• Kristin Lynn Eckland, ACNP, BC, RNFA
• Joseph Buckner Eddins III, PA
• Godwin Uchenna Edeh, M.D.
• Edge Sports Performance

• Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.