EDWARD RANDOLPH ECKERT (NPI# 1881675940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881675940 |
| Entity Type | Individual |
| Full Name | EDWARD RANDOLPH ECKERT |
| Credential | MD |
| Practice Address |
12221 N Mopac Expressway Namc Department of Pathology Austin TX 78758 |
| Mailing Address |
Po Box 164106 Austin TX 78716-4106 |
| Practice Telephone | 5129011206 |
| Practice Fax Number | 5129011299 |
| Mailing Telephone | 5129011206 |
| Mailing Fax Number | 5129011299 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2009-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
07208R | LA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G8089 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 124423802 | 01 |
| BCBS OF TEXAS | 80P644 | 01 | |
| TX | 124423803 | 05 | |
| TX | 124423805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602569 | Edward David Eckert | Obstetrics & Gynecology | 2345 W Hillsboro Blvd, Suite 201, Deerfield Beach, FL 33442-1110 | 2005-10-10 |
| 1245329051 | Edward F. Eckert Jr. | Dentist | 133 Towne Centre Pkwy, Myrtle Beach, SC 29579 | 2006-10-11 |
| Street Address |
12221 N MOPAC EXPRESSWAY NAMC DEPARTMENT OF PATHOLOGY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807221 | Vilmos A Thomazy | Pathology | 12221 N Mopac Expressway, Namc Department of Pathology, Austin, TX 78756 | 2005-11-07 |
| 1285831412 | Capital Area Surgeons Pllc | Surgery | 12221 N Mopac Expressway, Austin, TX 78758-3584 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831431766 | Max Michael Wells | Pathology | 3608 Woodcutters Way, Austin, TX 78746-1541 | 2013-03-18 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| 1164488912 | Ann Riopel White | Pathology | 3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 | 2006-04-21 |
| 1285695577 | Robert Emmet Connor | Pathology | 9200 Wall St, Austin, TX 78754-4534 | 2006-03-28 |
| 1922088756 | Mary E Vono | Pathology | 3445 Executive Center Dr Ste 250, Austin, TX 78731-1678 | 2006-01-18 |
| 1922080894 | Joseph Paul Pulcini | Pathology | 3445 Executive Center Dr, Suite 250, Austin, TX 78731-1678 | 2005-11-16 |
| 1477534535 | Heather Bonnie Rytting | Pathology | 3603 Bridle Path, Austin, TX 78703-2646 | 2005-11-07 |
| 1104807221 | Vilmos A Thomazy | Pathology | 12221 N Mopac Expressway, Namc Department of Pathology, Austin, TX 78756 | 2005-11-07 |
| 1386647022 | Leslie W Dalton IIi | Pathology | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2005-05-26 |
| 1730574971 | Nkechi A Okonkwo | Pathology | 3445 Executive Center Dr, Ste 250, Austin, TX 78731-1678 | 2015-04-04 |
| Find all providers in AUSTIN | ||||
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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.