MR. FREDERICK ECKLES JR. (NPI# 1114219607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219607 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK ECKLES JR. |
| Credential | LPN |
| Practice Address |
6816 Erie Road Derby NY 14047 |
| Mailing Address |
8 Bartus Ln Angola NY 14006-1602 |
| Practice Telephone | 7165627012 |
| Practice Fax Number | 7165627109 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10297348 | NY | Nursing Service Providers |
| Street Address |
6816 ERIE ROAD |
| City | DERBY |
| State | NY |
| Zip Code | 14047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194070805 | Page Ashley Schmidt | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047-0296 | 2012-07-18 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| 1316978869 | Robert Jude Joba | Optometrist | 6929 Erie Rd, Derby, NY 14047 | 2006-07-05 |
| 1427241058 | Jay F. Clark | Dentist | 7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 | 2007-08-27 |
| 1114921947 | Morris M Cavalieri | Family Medicine | 7020 Erie Rd, Derby, NY 14047-9306 | 2005-06-09 |
| Find all providers in zip 14047 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970630 | Madison Elizabeth Mcdonagh | Licensed Practical Nurse | 1426 Wisconsin Rd, Derby, NY 14047-9704 | 2019-03-03 |
| 1629457510 | Crystal Hrubiak | Licensed Practical Nurse | 6779 Black Rd, Derby, NY 14047-9710 | 2015-05-25 |
| 1992127864 | Denise Gandron | Licensed Practical Nurse | 7006 Erie Rd, Derby, NY 14047-9403 | 2014-01-13 |
| 1003192345 | Julia Collman | Licensed Practical Nurse | 188 Marshall Ln, Derby, CT 06418-2329 | 2011-11-01 |
| 1063723914 | Alison M Gzyl | Licensed Practical Nurse | 1331 Patriot Ct, Derby, NY 14047-9560 | 2010-06-25 |
| 1205065224 | Ashley S Zygmunt | Licensed Practical Nurse | 1774 Sturgeon Point Rd, Derby, NY 14047-9602 | 2009-07-12 |
| 1053549451 | Karen L Ball | Licensed Practical Nurse | 1367 Peppertree Dr, Derby, NY 14047-9562 | 2009-06-24 |
| 1558514810 | Charmian L Allerton | Licensed Practical Nurse | 6743 Hamilton Dr, Derby, NY 14047-9694 | 2008-10-30 |
| 1194070805 | Page Ashley Schmidt | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047-0296 | 2012-07-18 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| Find all providers in DERBY | ||||
Please comment or provide details below to improve the information on MR. FREDERICK ECKLES JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.