DR. WILLIAM DAVID ERTAG


Address: 720 Goodlette Rd N, Suite 204, Naples, FL 34102-5656
Phone: 2394300800

DR. WILLIAM DAVID ERTAG (NPI# 1417955295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417955295
Entity Type Individual
Full Name DR. WILLIAM DAVID ERTAG
Credential MD
Practice Address 720 Goodlette Rd N
Suite 204
Naples
FL 34102-5656
Practice Telephone 2394300800
Practice Fax Number 2394300538
Enumeration Date 2005-07-14
Last Update Date 2018-09-12
NPI Deactivation Date 08/04/2018
NPI Reactivation Date 2018-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME25371 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL TAX ID 010732394 01
FL 035820700 05
FL BLUE CROSS BLUE SHIELD 78279 01

Office Location

Street Address 720 GOODLETTE RD N
SUITE 204
City NAPLES
State FL
Zip Code 34102-5656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285636233 David B Rawlings Clinical Neuropsychologist 720 Goodlette Rd N, Ste 201, Naples, FL 34102-5656 2005-06-02
1801379961 Advanced Direct Primary Care Non-Pharmacy Dispensing Site 720 Goodlette Rd N, Naples, FL 34102-5656 2018-09-13
1407394109 Clinton J Potter Md Pa Clinic/Center 720 Goodlette Rd N, Ste. 204, Naples, FL 34102-5656 2017-02-02
1639566201 Sheri Mangueira Nurse Practitioner 720 Goodlette Rd N, Suite 500, Naples, FL 34102-5656 2015-04-22
1760728554 Cindy L. Brown Clinical Nurse Specialist 720 Goodlette Rd N, Suite 500, Naples, FL 34102-5656 2012-12-24
1164704649 Advance Medical of Naples LLC Clinic/Center 720 Goodlette Rd N, Suite 300, Naples, FL 34102-5656 2011-09-12
1134412828 Mary C. Coriano Pa Social Worker 720 Goodlette Rd N, Naples, FL 34102-5656 2011-05-27
1538463971 Jill Marie Anderson Nurse Practitioner 720 Goodlette Rd N, Suite 500, Naples, FL 34102-5656 2010-12-28
1033370952 J Daniel Labs Md Pa Plastic Surgery 720 Goodlette Rd N, Suite 205, Naples, FL 34102-5656 2008-06-23
1063625390 Judith Ann Graser Psychologist 720 Goodlette Rd N, Naples, FL 34102-5656 2007-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710482948 Aktive Motion Physical Therapy Inc Clinic/Center 1250 9th St N Ste 204, Naples, FL 34102 2018-03-28
1912428632 Daily Care At Home, LLC Home Health 180 9th Street South, Suite 200, Naples, FL 34102 2017-07-03
1760737365 Family Private Care Inc Home Health 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 2012-07-19
1013205384 Valerie Jean Bress Nurse Practitioner 350 7th Street, Naples Community Hospital, Naples, FL 34102 2011-07-20
1154573830 Gustavo D Rivera Internal Medicine 1064 Goodlette Road, Naples, FL 34102 2008-10-14
1881872281 Proscan Imaging Naples, LLC Radiology 260 Tamiami Trail N, Naples, FL 34102 2008-02-07
1053595017 Marlene Ann Diaczynsky Registered Nurse 350 7th Street North, Naples Community Hospital, Naples, FL 34102 2007-12-26
1699958330 Georgiena Cobb Counselor 501 Goodlette Rd, Naples, FL 34102 2007-12-17
1124210158 Maranatha Home Care, Inc. Registered Nurse 1164 Goodlette Road, Naples, FL 34102 2007-08-14
1669678645 Naples Family Dentistry Inc Dentist 2176 Tamiami Trail North, Naples, FL 34102 2007-06-26
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770982068 Integrative Brain Center Psychiatry & Neurology 1865 Veterans Park Dr Ste 202, Naples, FL 34109-0447 2014-08-22
1497043269 Anton Coleman, Munch E. Backen, Pa Psychiatry & Neurology 3202 Serenity Ct, #102, Naples, FL 34114-9576 2011-07-14
1396758637 Sharon Loretta Johnston Psychiatry & Neurology 599 9th Street North, Suite 307, Naples, FL 34102 2006-08-15
1194768317 Neuroscience & Spine Associates Psychiatry & Neurology 877 111th Ave North, Suite 1, Naples, FL 34108 2006-06-14
1275583916 William Andrew Justiz Psychiatry & Neurology 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 2006-05-11
1194703363 Eshan Malik Kibria Psychiatry & Neurology 5475 Golden Gate Pkwy Ste 4, Naples, FL 34116-7529 2006-01-06
1427057371 Michael J Vickers Psychiatry & Neurology 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 2005-07-21
1427057462 Joseph Kandel Psychiatry & Neurology 877 111th Ave N, Suite 1, Naples, FL 34108-1866 2005-07-20
1265439269 Jeffrey John Mccartney Psychiatry & Neurology 11190 Health Park Blvd, Naples, FL 34110-5729 2005-07-05
1316940976 Ronald E Howard Jr. Psychiatry & Neurology 5671 Naples Blvd, Naples, FL 34109-2023 2005-05-27
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Competitor

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City NAPLES
Zip Code 34102

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Dataset Information

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.

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