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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME25371 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | TAX ID | 010732394 | 01 |
FL | 035820700 | 05 | |
FL | BLUE CROSS BLUE SHIELD | 78279 | 01 |
Street Address |
720 GOODLETTE RD N SUITE 204 |
City | NAPLES |
State | FL |
Zip Code | 34102-5656 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 34102 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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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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.