DR. LARRY L ERTEL (NPI# 1063479954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479954 |
| Entity Type | Individual |
| Full Name | DR. LARRY L ERTEL |
| Credential | M.D. |
| Practice Address |
1520 Boonesboro Rd Winchester KY 40391-8816 |
| Practice Telephone | 8597440067 |
| Practice Fax Number | 8597440042 |
| Mailing Telephone | 8597440067 |
| Mailing Fax Number | 8597440042 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35650 | KY | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 35650 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64012636 | 05 |
| Street Address |
1520 BOONESBORO RD |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437114626 | Brenda H Caudill | Registered Nurse | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2006-04-19 |
| 1740738616 | Courtney Reed | Nurse Practitioner | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2016-09-20 |
| 1548644438 | Jennifer Brocato | Nurse Practitioner | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2015-07-10 |
| 1124308341 | Jealena C Reesor | Registered Nurse | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2011-08-18 |
| 1063688000 | Elizabeth Ann Griffith | Pediatrics | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2008-04-30 |
| 1386799864 | Latonia Rice Sweet | Psychiatry & Neurology | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2007-01-24 |
| 1003842501 | Ertel Medicine & Pediatrics, Psc | Internal Medicine | 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1952563462 | Kevin M. Kollins | Pediatrics | 1829 W Plaza Dr, Winchester, VA 22601-6365 | 2008-06-26 |
| 1083703169 | Gita Haddadi | Pediatrics | 337 Westside Station Dr, Winchester, VA 22601-2840 | 2006-10-12 |
| 1265543631 | Blue Ridge Pediatrics Associates Ltd | Pediatrics | 337 Westside Station Drive, Winchester, VA 22601 | 2006-08-31 |
| 1063522449 | Holly Renee Mccurley-martin | Pediatrics | 54629 Cedar Creek Grade, Winchester, VA 22601 | 2006-08-30 |
| 1427082742 | Vicki Simmons Freilich | Pediatrics | 1002 Amherst St, Bldg C, Winchester, VA 22601-3323 | 2006-07-10 |
| 1043286289 | Donald Lee Nofziger | Pediatrics | 19262 Sr 136, Winchester, OH 45697 | 2006-02-27 |
| 1679558274 | Melissa Mccormack | Pediatrics | 77 Swanton St Ste 2, Winchester, MA 01890-2039 | 2005-12-07 |
| 1922614585 | Wholistic Pediatricians | Pediatrics | 77 Swanton St Ste 2, Winchester, MA 01890-2039 | 2020-09-18 |
| 1346603966 | Grace Point Pediatrics Inc. | Pediatrics | 480 W Jubal Early Dr, Suite A1, Winchester, VA 22601-6446 | 2016-03-31 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.