EVELYN ECCLES, MD


Address: 122 W Main St, Box 570, Manchester, MI 48158-1002
Phone: 7344288381

EVELYN ECCLES, MD (NPI# 1679776264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679776264
Entity Type Organization
Organization Name EVELYN ECCLES, 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 2007-06-09
Last Update Date 2008-02-22
Authorized Official Name EVELYN ECCLES (OWNER)
Authorized Official Telephone 7344288381
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301043902 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1802237 05
MI ECCLES PERSONAL NPI 1366533689 01
MI TAMAGNE PERSONAL NPI 1568521458 01

Office Location

Street Address 122 W MAIN ST
BOX 570
City MANCHESTER
State MI
Zip Code 48158-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720248016 Gayle Anne Antonelli Physician Assistant 122 W Main St, Manchester, MI 48158-1002 2008-06-11
1366533689 Evelyn Eccles Family Medicine 122 W Main St, Box 570, Manchester, MI 48158-1002 2006-09-28

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MANCHESTER
Zip Code 48158

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Dataset Information

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.

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