Cody Eccard, PA-C
Physician Assistant · Fulton, MD
Practice location
8115 Maple Lawn Blvd Ste 350Fulton, MD 20759-2683
- Phone
- (551) 295-8223
NPI record
- NPI
- 1053829796
- Entity type
- Individual (Type 1)
- Enumeration date
- January 16, 2018
- Last updated
- December 23, 2025
- Certified
- December 23, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
0110-006896 | VA |
| Physician Assistant | 363A00000X |
C0006734 | MD |
| Psychiatry Physician | 2084P0800X |
0110-006896 | VA |
Mailing address
14611 Water Company RdCascade, MD 21719-1924
- Phone
- (240) 675-1154
Other practice locations (1)
- 1355 Edwin Miller Blvd, Martinsburg, WV 25404-3703 · (304) 263-6753
About Cody Eccard
Cody Eccard, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683. The NPI number 1053829796 was assigned on January 16, 2018 and the record was last updated on December 23, 2025.
Cody Eccard lists 3 licenses in the registry: #0110-006896 (VA) for Physician Assistant; #C0006734 (MD) for Physician Assistant; #0110-006896 (VA) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Cody Eccard, PA-C?
The NPI number is 1053829796.
What is the phone number of Cody Eccard?
The phone number listed for the practice location is (551) 295-8223.
Where is Cody Eccard located?
8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683.
What is the taxonomy code for Cody Eccard?
The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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