Active NPIIndividual provider

Dr. Gregory Eckenrode, MD

Surgery, Surgical Critical Care in Norwalk, Connecticut

NPI Number1003234048
Practice location
30 Stevens St Ste D, Norwalk, CT 06850-3859
Fax
203-899-5281
Last updated
October 31, 2022

Gregory Eckenrode is a Surgery, Surgical Critical Care based in Norwalk, CT. Gregory Eckenrode practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Gregory Eckenrode is 1003234048 and holds a License No. 288418 (NY). The current practice location address for Gregory Eckenrode is 30 Stevens St Ste D, Norwalk, CT 06850-3859 and can be reached out via phone at 203-852-2406 and via fax at 203-899-5281.

Provider Profile Details

NPI Number
1003234048
Provider Name
Gregory Eckenrode
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Stevens St Ste D, Norwalk, CT 06850-3859
Phone Number
203-852-2406
Fax Number
203-899-5281
Primary Taxonomy
Surgery, Surgical Critical Care · 2086S0102X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2014
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Stevens St Ste D
Norwalk, CT 06850-3859
Zip
06850-3859
Phone Number
203-852-2406
Fax Number
203-899-5281
Norwalk, CT 06850Get directions →

Provider Business Mailing Address Details

Address
30 Stevens St Ste D
Norwalk, CT 06850-3859
City
Norwalk
State
CT
Zip
06850-3859
Phone Number
203-852-2406
Fax Number
203-899-5281

License Information

License Number (1)
288418
License State (1)
NY
Taxonomy (1)
Surgery, Surgical Critical Care · 2086S0102X
License Number (2)
25MA11052800
License State (2)
NJ
Taxonomy (2)
Surgery, Surgical Critical Care · 2086S0102X
License Number (4)
1.071668
License State (4)
CT
Taxonomy (4)
Surgery, Surgical Critical Care · 2086S0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gregory Eckenrode, MD?

The NPI number of Dr. Gregory Eckenrode, MD is 1003234048. It was assigned on April 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Gregory Eckenrode, MD?

Dr. Gregory Eckenrode, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in NY under license number 288418.

Where does Dr. Gregory Eckenrode, MD practice?

The practice location is 30 Stevens St Ste D, Norwalk, CT 06850-3859. The office can be reached at 203-852-2406 (phone) or 203-899-5281 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003234048 directly on the NPPES registry website.

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