MEDICARE: JASON C ECK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	236738	MA
2	207X00000X	Orthopaedic Surgery Physician	2019-02773	NC
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	2433	TN
4	207XS0117X	Orthopaedic Surgery of the Spine Physician	2019-02773	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982809240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON C ECK D.O.

Provider Business Mailing Address
First Line	:	4140 FERNCREEK DR STE 801
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2572
Country	:	US
Telephone Number	:	910-484-2171
Fax Number	:	910-484-4568

Provider Business Practice Location Address
First Line	:	4140 FERNCREEK DR STE 801
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2572
Country	:	US
Telephone Number	:	910-484-2171
Fax Number	:	910-484-4568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	01/09/2020

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Directions to “ JASON C ECK D.O.” Practice Location

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