Dr. Samuel Blake Ecker, DO
Dr. Samuel Blake Ecker, DO is a Dermatology in Laramie, Wyoming. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2013, 13 years ago. Practices with Sage Dermatology LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Wyoming.
- Years since qualifying
- 13
- Trained at
- Arizona College of Osteopathic Medicine Mid Western University
- Licensed in
- CO, WY
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
204 McCollum St Ste 106ELaramie, WY 82070-5151
Phone: (970) 682-3377
Fax: (970) 682-3340
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 0061328 (CO) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 6858A (WY) |
Record details
| NPI number | 1033555230 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 14, 2013 |
| Last updated in NPPES | September 27, 2021 |
| Certification date | September 27, 2021 |
| Mailing address | 2710 Westridge Ct, Fort Collins, CO 80526-6503 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduated | 2013 (13 years in practice) |
| Group practice | Sage Dermatology Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |