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Security report for ecaa.com

East Carolina Anesthesia Associates · Healthcare · United States

High risk. 10 critical or high findings in Network security, Email security and 3 other checks.

Security score

41/100

Risk levelHigh

0–100, higher is better. How it is calculated

East Carolina Anesthesia Associates (ECAA) is a physician-owned anesthesiology practice operating primarily in the Southeastern United States, with over 50 locations across North Carolina and Southeast Virginia. The company focuses on delivering comprehensive anesthesia and pain management services, partnering with hospitals, surgery centers, and doctors' offices. Their market position is strong as one of the fastest growing anesthesiology practices in the region, emphasizing patient care and satisfaction. The website reflects a professional healthcare service provider with clear business focus and consistent branding. Technically, the site is built on WordPress, utilizing modern JavaScript libraries such as jQuery and Swiper.js, and integrates Google Analytics and Tag Manager for tracking. Hosting is provided by GoDaddy, with domain registration dating back to 2000, supporting the company's established presence. Security posture is adequate with HTTPS enabled and anti-spam measures in place, though improvements such as enabling DNSSEC and adding security headers are recommended. Privacy compliance is minimal, with no explicit privacy or cookie policies detected, which could be a compliance risk. Overall, the website is professional and trustworthy but would benefit from enhanced privacy and security disclosures.

Scanned

NIS2 and GDPR posture

GDPR outside view
50/ 100 · Medium
Checks completed
7of 7

NIS2 Art. 21(2)

  1. (a) Risk analysis and security policies: Not visible from outside
  2. (b) Incident handling: One indicator
  3. (c) Business continuity, backups and crisis management: Not visible from outside
  4. (d) Supply chain security: Not visible from outside
  5. (e) Secure acquisition, development and maintenance, including vulnerability handling: Partly checked
  6. (f) Assessing the effectiveness of security measures: Not visible from outside
  7. (g) Cyber hygiene and security training: Not visible from outside
  8. (h) Cryptography and encryption: Partly checked
  9. (i) HR security, access control and asset management: One indicator
  10. (j) Multi-factor authentication and secured communications: Not visible from outside

This scan rated NIS2 with an earlier keyword method that is no longer shown; rescan for the per-article view. Risk management, continuity, supply chain, training, MFA, management oversight (Art. 20) and incident reporting (Art. 23) need internal evidence, and Guard cannot tell whether NIS2 applies to this organisation.

GDPR is indicative only, based on publicly visible signals: Articles 7, 12, 13 and 32 of Regulation (EU) 2016/679 and Article 5(3) of the ePrivacy Directive. Not a certification or legal assessment.

Priority findings

10 findings rated critical or high. Fix these first.

  1. Network security

    Services reachable from the internet are the first thing attackers probe. Anything open that does not need to be should be closed.

    • Critical

      Critical Service Exposed: MySQL

      Port 3306 (MySQL) is publicly accessible - MySQL - Database server

      What to do: Immediately restrict access to MySQL using firewall or VPN

      • NIS2 21(2)(e)
      • IR 2024/2690 6.7.2(f): Implementing Regulation (EU) 2024/2690, Annex point 6.7.2(f): Network security
      • NIST CM-7: NIST SP 800-53 Rev. 5 CM-7: Least Functionality
      • NIST SC-7: NIST SP 800-53 Rev. 5 SC-7: Boundary Protection

  2. Email security

    SPF, DKIM and DMARC stop others sending email that looks like it comes from your domain, a common route to phishing and invoice fraud.

    • High

      No SPF record found

      SPF helps prevent email spoofing

      What to do: Add SPF record: "v=spf1 include:_spf.yourmailprovider.com ~all"

  3. GDPR outside view

    These are the privacy signals visitors and data protection authorities look for under GDPR.

    • High

      No Privacy Policy found

      GDPR requires a clear and accessible privacy policy

      What to do: Add a comprehensive privacy policy page and link to it prominently

    • High

      No Cookie Policy found

      GDPR requires clear information about cookie usage

      What to do: Add a dedicated cookie policy explaining cookie usage and purposes

    • High

      Third-party services without privacy policy

      Detected services: Google Analytics, Facebook, LinkedIn, YouTube, Google APIs

      What to do: Document all third-party data sharing in your privacy policy

Need hands-on remediation? Email guard@offseq.com

Keep watching ecaa.com

This scan found 29 issues across 6 checks. Monitoring re-runs those checks daily, emails you when something material changes and records each fix, so you can show progress.

Daily monitoring

Recommended

€25per month

  • TLS certificates and expiry
  • DNS records
  • SPF, DKIM and DMARC
  • Security headers
  • GDPR and NIS2 posture
  • Exposed services
  • Third-party trackers
  • Security score drift

Email alerts on material changes and an exportable JSON history of every change.

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Full report

€39.90one-time

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Results by check

Each check with its score, findings and the evidence it collected.

How this score is calculated

The security score runs 0–100, higher is better. It is the plain average of the security checks that completed in this scan, each counted equally. A check that could not run is left out: it counts neither as a pass nor as a fail.

Counted in this score

SSL/TLS
72
Security headers
15
Email security
40
DNS health
70
Network security
0
GDPR outside view
50
Average
41

Not counted

  • NIS2 outside view: Re-weights evidence from the TLS, email, DNS, network and hygiene checks, so counting it would count that evidence twice. Shown on its own.
  • OffSeq Observations: An AI reading of the site, useful context but not reproducible evidence. Shown on its own.

Findings that cap the score at 49

Each of these is serious on its own, so while any is present the site cannot rate better than high risk, however good the other checks are.

  • The certificate is not trusted by browsers
  • The website is not served over HTTPS
  • A database, remote desktop, file-sharing or Telnet service is reachable from the internet · found on this site
  • The page loads a script from a compromised source
  • The domain registration has expired
  • SPF authorises every server to send mail as the domain

Partial scans

When the site blocks Guard or most checks cannot run, the score covers only the checks that ran (usually DNS and email), is capped at 75 and is shown as partial, without a risk level.

Risk levels

  • Critical0–25
  • High26–49
  • Medium50–75
  • Low76–100

Technical appendix

Business context, site observations and technical notes gathered during the scan, and the standards behind each reference.

Business context

Business profile

ECAA operates in the healthcare sector, specifically anesthesiology and pain management. Their business model is physician-owned clinical services, targeting hospitals and surgical centers. The company demonstrates growth and market penetration with multiple locations and a strong leadership culture. Revenue streams likely include clinical anesthesia services and pain management treatments. The website content and structure indicate a focus on patient care and professional partnerships. No evidence of parent or subsidiary companies was found. The absence of explicit privacy and security policies suggests an area for operational improvement. The company leverages digital marketing tools such as Google Analytics but lacks visible social media engagement or affiliate partnerships.

Security posture

The website employs HTTPS and uses CleanTalk anti-spam protection, indicating basic security hygiene. However, DNSSEC is not enabled, which is a missed opportunity for domain security enhancement. No security headers were detected in the provided data, which could expose the site to certain web-based attacks. There is no visible incident response or security contact information, nor a vulnerability disclosure policy or security.txt file, which limits transparency and preparedness for security incidents. No exposed sensitive data or vulnerable libraries were identified in the analysis. Overall, the security posture is moderate but could be significantly improved by implementing recommended best practices and compliance measures.

Recommendations

  1. Enable DNSSEC on the domain to enhance DNS security and prevent spoofing.
  2. Implement standard security headers such as Content-Security-Policy, X-Frame-Options, and Strict-Transport-Security.
  3. Publish comprehensive privacy and cookie policies on the website to improve GDPR and privacy compliance.
  4. Add a vulnerability disclosure policy or security.txt file to facilitate responsible security reporting.
  5. Provide clear incident response contact information, including security or abuse email addresses, to improve transparency and trust.
Site observations

Automated reading of the public site. Ratings are indicative.

Business

Company
East Carolina Anesthesia Associates
Description
East Carolina Anesthesia Associates is the Southeast's fastest growing, most comprehensive anesthesiology practice. They provide highly trained specialists committed to patient care and satisfaction, operating in more than 50 locations throughout North Carolina and Southeast Virginia. They also offer pain management services through their ECPC Pain Specialists division.
Key services
Anesthesiology, Pain management
Content quality
good
Branding
consistent

Technology

Stack
jQuery, Swiper.js, Google Analytics, Google Tag Manager, CleanTalk Anti-Spam
Frameworks
WordPress
Platforms
WordPress
Performance
moderate
Mobile
good
Accessibility
basic
SEO
good

Security

Observed score
70/100
Good practices seen
  • HTTPS enabled
  • Use of CleanTalk anti-spam plugin
  • ClientDeleteProhibited domain status

Analytics and tracking

Services
Google Analytics, Google Tag Manager
Tracking level
moderate
Privacy practices
basic

Advertising

Transparency
basic

Site quality

Design
good
User experience
good
Content relevance
good
Navigation
good
Professionalism
good
Trustworthiness
high

Key observations

  1. Website is a professional healthcare provider site for anesthesiology services.
  2. Content is well structured with clear navigation and multimedia integration.
  3. No explicit privacy, cookie, or terms of service policies found on the homepage or linked menus.
  4. Use of modern JavaScript libraries and WordPress CMS.
  5. No visible contact emails or phone numbers in the provided HTML snippet.
  6. No social media links detected in the provided content.
  7. Security practices are basic but adequate; DNSSEC not enabled.
  8. No evidence of security.txt or vulnerability disclosure policy.
  9. No incident response or security contact information found.
  10. WHOIS data supports legitimacy and domain age.
Technical notes

Notes

The website is built on WordPress CMS, using common JavaScript libraries like jQuery and Swiper.js for UI components. Google Analytics and Google Tag Manager are integrated for user tracking and analytics. Hosting is via GoDaddy, a reputable provider. The site is mobile optimized with responsive design elements and good SEO practices including meta tags and structured data (JSON-LD). Performance is moderate, with some minified scripts and asynchronous loading. Accessibility features are basic but present. There is room for technical improvement in security headers and DNS configuration. The site uses anti-spam plugins to protect forms but no visible forms or contact details were found in the provided HTML snippet.
Standards and sources

Reference chips under each finding point to the standard, regulation or specification the finding relates to. They are taken from the official datasets below and mapped conservatively: a finding with no defensible link shows none. NIS2 and GDPR references mark where a finding is relevant evidence, not a compliance verdict. Implementing Regulation (EU) 2024/2690 binds digital infrastructure and digital service providers; for other entities it is the most detailed public reading of the Article 21 measures. WCAG, EN 301 549, European Accessibility Act and Web Accessibility Directive references name the requirement an automated accessibility rule relates to; they are not a conformance verdict.

Retrieved 2026-10-25

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