TERRY M ECCLES (NPI# 1740205624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740205624 |
| Entity Type | Individual |
| Full Name | TERRY M ECCLES |
| Credential | M.D. |
| Practice Address |
72 W Stafford Rd Stafford Springs CT 06076-1000 |
| Mailing Address |
72 - II West Stafford Rd Stafford Springs CT 06076 |
| Practice Telephone | 8606845015 |
| Practice Fax Number | 8606843749 |
| Mailing Telephone | 8606845015 |
| Mailing Fax Number | 8606843749 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 037680 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001376806 | 05 |
| Street Address |
72 W STAFFORD RD |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431190 | The Treehouse Center for Children and Families, LLC | Nurse Practitioner | 72 W Stafford Rd, Suite 2, Stafford Springs, CT 06076-1000 | 2016-12-06 |
| 1447652912 | Emily Woods | Nurse Practitioner | 72 W Stafford Rd, Stafford Springs, CT 06076-1000 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514292 | Medical Center of East Hartford LLC | Pediatrics | 580 Burnside Ave Ste 2, East Hartford, CT 06108-3579 | 2020-07-01 |
| 1841856721 | Jutta Nemec | Pediatrics | 9 Meadow Pl, Old Greenwich, CT 06870-2114 | 2019-05-15 |
| 1396201307 | My Catholic Doctor, P.l.l.c. | Pediatrics | 711 Silvermine Rd, New Canaan, CT 06840-4329 | 2019-02-14 |
| 1710442694 | Staci Ruth Cicero | Pediatrics | 11 Crimmins Rd, Darien, CT 06820-5327 | 2019-02-05 |
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1386158467 | Pm Pediatrics of Connecticut | Pediatrics | 1459 New Britain Ave, West Hartford, CT 06110-1659 | 2017-11-28 |
| 1366973679 | Jonathan Uhl | Pediatrics | 435 Highland Ave Ste 110, Cheshire, CT 06410-2583 | 2017-03-27 |
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
Please comment or provide details below to improve the information on TERRY M ECCLES.
| 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.