LARRY ECKSTEIN MD – NPI #1821000704
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LARRY ECKSTEIN is a physician located in BOULDER, CO. NPPES has assigned the NPI number 1821000704 to LARRY ECKSTEIN on August 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Mar 02, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY ECKSTEIN below.

The provider associated with this NPI number, 1821000704, has been excluded by the Office of Inspector General.

NPI Profile for
LARRY ECKSTEIN

NPI Number
1821000704
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY ECKSTEIN
Credentials
MD
Primary location
2760 29TH ST
SUITE 2-D
BOULDER, CO 80301-1214
Phone: (303) 546-9158 Fax: (303) 546-9107
Mailing address
PO BOX 21150
BOULDER, CO 80308-4150
Phone: (303) 546-9158 Fax: (303) 546-9107
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for LARRY ECKSTEIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO01330422
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CO 33042

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.