Provider Demographics
NPI:1821083874
Name:ECS OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:ECS OF VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-396-6472
Mailing Address - Street 1:PO BOX 532858
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2858
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 WEAVER AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1224
Practice Address - Country:US
Practice Address - Phone:434-348-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA153395OtherANTHEM GROUP
VADC4071OtherRR MCR GROUP
VA=========002OtherCHAMPUS GROUP
VAC09348Medicare ID - Type UnspecifiedMCR GROUP