DR. LUCY WARD ERTENBERG (NPI# 1376697649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376697649 |
| Entity Type | Individual |
| Full Name | DR. LUCY WARD ERTENBERG |
| Credential | M.D. |
| Practice Address |
2445 Lane Park Rd Tavares FL 32778-9648 |
| Practice Telephone | 3527426813 |
| Practice Fax Number | 3523430325 |
| Mailing Telephone | 3527426813 |
| Mailing Fax Number | 3523430325 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME44448 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
ME44448 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2445 LANE PARK RD |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-9648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619028313 | Cornerstone Hospice & Palliative Care Inc | Hospice Care, Community Based | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2007-01-16 |
| 1891309134 | Mauviette Pierre | Family Medicine | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-09-03 |
| 1841801016 | Danielle Helene Labossiere | Counselor | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-08-12 |
| 1043829153 | Deborah Short | Counselor | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-07-24 |
| 1811506934 | Renee Schwer | Counselor | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-07-24 |
| 1932718178 | Coraliz Crespo | Counselor | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-07-23 |
| 1174157986 | Cornerstone Health Services LLC | Counselor | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-03-02 |
| 1386278828 | Cornerstone Primary Care, LLC | Family Medicine | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-02-24 |
| 1164915880 | Lauren Ann Buglio | Nurse Practitioner | 2445 Lane Park Rd, Tavares, FL 32778 | 2018-06-07 |
| 1912327941 | Cornerstone Health Services LLC | Family Medicine | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309134 | Mauviette Pierre | Family Medicine | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2020-09-03 |
| 1912327941 | Cornerstone Health Services LLC | Family Medicine | 2445 Lane Park Rd, Tavares, FL 32778-9648 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
| Find all providers with the same taxonomy | ||||
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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.