MICHAEL ECKERT (NPI# 1184733735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184733735 |
| Entity Type | Individual |
| Full Name | MICHAEL ECKERT |
| Credential | DO |
| Practice Address |
705 Dixie St Tanner Health Systems, Emergency Dept Carrollton GA 30117-3818 |
| Mailing Address |
71 Marina Dr Newnan GA 30263-7455 |
| Practice Telephone | 7708369666 |
| Mailing Telephone | 7065332285 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 048227 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000859966D | 05 | |
| GA | 00859966F | 05 | |
| AETNA | 7629421 | 01 | |
| SC | G48227 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150514 | Michael Eckert | Physical Therapist | 7275 N. First St., Suite 106, Fresno, CA 93720-2977 | 2019-02-19 |
| 1053669408 | Michael Todd Eckert II | Specialist/Technologist | Comcast Center Terrapin Trl, College Park, MD 20742-0001 | 2012-08-15 |
| Street Address |
705 DIXIE ST TANNER HEALTH SYSTEMS, EMERGENCY DEPT |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848799 | Lawrence Brett Carter | Pharmacist | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-08-22 |
| 1760007322 | Crystal Renee Grayson | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-06-10 |
| 1962025361 | Amanda Hasty Mcentyre | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1265055669 | Purdy Jackson | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1528681921 | Amanda Phillips Kranz | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1699396630 | Katherine Victoria White | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-04-30 |
| 1144866047 | Jennifer Tiffany Jiles | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-11-26 |
| 1750934733 | Tiffany Landry | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104479195 | Kim Rowell | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104478916 | Brandon Gabe Graves | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972047173 | Md Ride, LLC | Emergency Medicine | 2825 Sheridan Dr, Carrollton, TX 75010-4270 | 2016-12-07 |
| 1053501809 | Biju M Lukose | Emergency Medicine | 4541 N Josey Lane, Suite 110, Carrollton, TX 75010-4622 | 2007-07-27 |
| 1053519645 | Peter A. Brokish | Emergency Medicine | 4228 N Josey Ln Ste 100, Carrollton, TX 75010-4600 | 2007-07-05 |
| 1306866603 | Anthony Har-nel Croff | Emergency Medicine | 4343 N. Josey Ln, Carrollton, TX 75010-4603 | 2006-07-20 |
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1003441122 | Ess of Carroll County LLC | Emergency Medicine | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2020-03-09 |
| 1134769789 | Ies Carrollton Pllc | Emergency Medicine | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-01-12 |
| 1346758018 | Adam H. Miller, Md, Pllc | Emergency Medicine | 2801 N I35 Ste 130, Carrollton, TX 75007-6453 | 2018-01-16 |
| 1285098285 | Ess of Carrollton LLC | Emergency Medicine | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2016-04-06 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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| 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.