LEE DAVID ETTINGER (NPI# 1235112129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112129 |
| Entity Type | Individual |
| Full Name | LEE DAVID ETTINGER |
| Credential | M.D. |
| Practice Address |
800 S 3rd St Montrose CO 81401-4212 |
| Mailing Address |
Po Box 792 Shalimar FL 32579-0792 |
| Practice Telephone | 9702522753 |
| Practice Fax Number | 9702407330 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
DR.0062774 | CO | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME 0035386 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 110007848 | 01 |
| FL | 067872400 | 05 |
| Street Address |
800 S 3RD ST |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419752 | Patricia Kiebler | Specialist | 800 S 3rd St, Montrose, CO 81401-4212 | 2005-07-07 |
| 1336784560 | Sherman Mathieu | Registered Nurse | 800 S 3rd St, Montrose, CO 81401-4212 | 2019-11-12 |
| 1356983068 | Janelle Edmondson | Nurse Practitioner | 800 S 3rd St, Montrose, CO 81401-4212 | 2019-10-14 |
| 1215454483 | Jordan Bloomer | Pharmacist | 800 S 3rd St, Montrose, CO 81401-4212 | 2017-08-28 |
| 1568862480 | Matthew Rettger | Pharmacist | 800 S 3rd St, Montrose, CO 81401-4212 | 2014-08-27 |
| 1669898375 | Teresa Tomasi-maloney | Dietitian, Registered | 800 S 3rd St, Montrose, CO 81401-4212 | 2014-03-06 |
| 1649518861 | Elizabeth L Malloy | Nurse Anesthetist, Certified Registered | 800 S 3rd St, Montrose, CO 81401-4212 | 2013-01-23 |
| 1942563432 | Avery Mackenzie | Emergency Medicine | 800 S 3rd St, Montrose, CO 81401-4212 | 2012-06-19 |
| 1053699637 | Alexis N Garza | Emergency Medicine | 800 S 3rd St, Montrose, CO 81401-4212 | 2011-07-29 |
| 1285924480 | Andrew M Hersh | Internal Medicine | 800 S 3rd St, Montrose, CO 81401-4212 | 2011-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508952805 | Dr David Coburn M.d. PC | Internal Medicine | 835 S 1st St, Montrose, CO 81401-3916 | 2006-10-05 |
| 1285803635 | Montrose Memorial Hospital, Inc | Internal Medicine | 800 S 3rd St, Montrose, CO 81401-4212 | 2008-02-29 |
| 1629040936 | Jimmy G. Gilbert | Internal Medicine | 800 S 3rd St, Montrose, CO 81401 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
| 1235627555 | Melanie Koenigshoff | Internal Medicine | 12605 E 16th Ave Rm 9014, Aurora, CO 80045-2545 | 2018-04-23 |
| 1598005266 | Richard O'brien | Internal Medicine | 422 Idlewild Dr, Dillon, CO 80435-8335 | 2013-02-18 |
| 1417208257 | Timothy C Kennedy Md LLC | Internal Medicine | 2045 Ash St, Denver, CO 80207-3717 | 2012-09-19 |
| 1659662484 | Kent Lee Christopher | Internal Medicine | 9086 E Colorado Cir, Denver, CO 80231-2924 | 2011-04-27 |
| 1215228473 | Thomas Theodore Heacock | Internal Medicine | Uchealth Pulmonology Clinic, 2121 E Harmony Road Suite 300, Fort Collins, CO 80528-3403 | 2011-04-22 |
| 1730316464 | Peter D Sottile | Internal Medicine | 12700 E 19th Ave Rm 9023, Mail Stop C272, Aurora, CO 80045-2560 | 2009-06-20 |
| 1730377557 | Robert E. Benkert, Md PC | Internal Medicine | 9201 W 44th Ave, Unit B, Wheat Ridge, CO 80033-3084 | 2007-10-05 |
| 1487776530 | Eric Rich | Internal Medicine | 12700 E 19th Ave, Room 9c03, Aurora, CO 80045 | 2007-04-06 |
| 1326162330 | Rocky Mountain Pulmonary & Critical | Internal Medicine | 8550 W 38th Ave Ste 202, Wheat Ridge, CO 80033-4342 | 2007-03-16 |
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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.