MARK K ECKERT (NPI# 1568410173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568410173 |
| Entity Type | Individual |
| Full Name | MARK K ECKERT |
| Credential | MD |
| Practice Address |
1010 Murray Avenue San Luis Obispo CA 93401 |
| Mailing Address |
Po Box 87 Templeton CA 93465-0087 |
| Practice Telephone | 8055467650 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G31187 | CA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
G31187 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | 930126534 | 01 |
| CA | 00G311870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215180559 | Mark Eckert | Physical Therapy Assistant | 4405 60th St, San Diego, CA 92115-5442 | 2008-10-30 |
| Street Address |
1010 MURRAY AVENUE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467400135 | Thomas Ronay | Emergency Medicine | 1010 Murray Avenue, San Luis Obispo, CA 93405 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1225043789 | Samuel Slishman | Emergency Medicine | 387 Lincoln St, San Luis Obispo, CA 93405-2331 | 2006-07-30 |
| 1295781615 | Cep America - California | Emergency Medicine | 1911 Johnson Avenue, San Luis Obispo, CA 93401 | 2006-05-26 |
| 1497738140 | Tillman E. Dodd Jr. | Emergency Medicine | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2005-11-28 |
| 1568856474 | Kyle Richard Kelson | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-03-28 |
| 1154736734 | Sean Andrews | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-06-23 |
| 1104152511 | Kenyon Tsao | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2009-10-20 |
| 1932363215 | Lucas Douglas Karaelias | Emergency Medicine | 1911 Johnson Ave, French Hospital Medical Ctr/dept. of Emergency Medicine, San Luis Obispo, CA 93401-4131 | 2008-07-15 |
| 1114131489 | Kristopher Lyon | Emergency Medicine | 1911 Johnson Ave, French Hospital Emergency Department, San Luis Obispo, CA 93401-4131 | 2007-05-09 |
| 1831221480 | Amy Elizabeth Olin | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2007-03-09 |
| 1447309067 | Richard David Griffith | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2007-01-10 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.