EVELYN ECCLES (NPI# 1366533689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366533689 |
| Entity Type | Individual |
| Full Name | EVELYN ECCLES |
| Credential | MD |
| Practice Address |
122 W Main St Box 570 Manchester MI 48158-1002 |
| Practice Telephone | 7344288381 |
| Practice Fax Number | 7344289066 |
| Mailing Telephone | 7344288381 |
| Mailing Fax Number | 7344289066 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301043902 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS/BLUE SHIELD | 0811119 | 01 |
| MI | 1802237 | 05 |
| Street Address |
122 W MAIN ST BOX 570 |
| City | MANCHESTER |
| State | MI |
| Zip Code | 48158-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720248016 | Gayle Anne Antonelli | Physician Assistant | 122 W Main St, Manchester, MI 48158-1002 | 2008-06-11 |
| 1679776264 | Evelyn Eccles, Md | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332651 | Jessica L Walz | Specialist/Technologist | 9235 Grossman Rd, Manchester, MI 48158 | 2017-08-16 |
| 1548464951 | Great Lakes Bay Health Centers | Clinic/Center | 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 | 2007-06-12 |
| 1952427841 | Bruce Alan Bates | Dentist | 500 Galloway Dr, Manchester, MI 48158 | 2007-03-22 |
| 1114083581 | Dana Ray Andrews | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1538485602 | Aaron Larock | Dentist | 126 E. Main St, Apartment 2, Manchester, MI 48158 | 2010-04-14 |
| 1427114693 | Andrews Family Chiropractic Pllc | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1245246289 | David A Hanauer | Pediatrics | 39901 Traditions Drive, Suite 240, Northville, MI 48158-4401 | 2006-07-31 |
| 1104321249 | Rachel Ann Rang | Nurse Practitioner | 159 Woodland Way, Manchester, MI 48158-8585 | 2018-03-29 |
| 1215355771 | Debora Spring | Occupational Therapist | 1005 E Duncan St, 2b, Manchester, MI 48158-8599 | 2014-04-02 |
| Find all providers in zip 48158 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 48158 |
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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.