TERRY M. ECCLES, MD, LLC


Address: 72-ll West Stafford Road, Stafford Springs, CT 06076
Phone: 8606845015

TERRY M. ECCLES, MD, LLC (NPI# 1952689945) 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) 1952689945
Entity Type Organization
Organization Name TERRY M. ECCLES, MD, LLC
Practice Address 72-ll West Stafford Road
Stafford Springs
CT 06076
Practice Telephone 8606845015
Practice Fax Number 8606843749
Mailing Telephone 8606845015
Mailing Fax Number 8606843749
Enumeration Date 2011-07-26
Last Update Date 2014-11-17
Authorized Official Name DR. TERRY M. ECCLES (OWNER/PHYSICIAN)
Authorized Official Telephone 8606845015
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
005863 CT Physician Assistants & Advanced Practice Nursing Providers
Y 208000000X Pediatrics 037680 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 72-LL WEST STAFFORD ROAD
City STAFFORD SPRINGS
State CT
Zip Code 06076

Providers in the same zip code

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
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
1588760805 Srianee M Dias Pathology 201 Chestnut Hill Rd., Johnson Memorial Hospital, Stafford Springs, CT 06076 2006-09-15
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740205624 Terry M Eccles Pediatrics 72 W Stafford Rd, Stafford Springs, CT 06076-1000 2006-07-13

Providers in the same taxonomy and state

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
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Competitor

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City STAFFORD SPRINGS
Zip Code 06076

Improve Information

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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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