ERNEST E ERTMOED (NPI# 1710073382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710073382 |
Entity Type | Individual |
Full Name | ERNEST E ERTMOED |
Credential | M.D. |
Practice Address |
900 N. 1st Street Springfield IL 62702-3749 |
Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
Practice Telephone | 2175287541 |
Practice Fax Number | 2175250121 |
Mailing Telephone | 2175287541 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036062213 | IL | Allopathic & Osteopathic Physicians |
Street Address |
900 N. 1ST STREET |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-3749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164410163 | David C. Chapman | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2005-10-12 |
1437423613 | Brooke Y. Trickey | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
1699049874 | Ginger P. Boehler | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
1316254287 | Stacy Ann Roher | Registered Nurse | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-09-13 |
1821309790 | Alison Christine Rinaberger | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-06-25 |
1962638130 | Amanda L. Shull | Physician Assistant | 900 N. 1st Street, Springfield, IL 62702-3749 | 2009-06-02 |
1639395114 | Amit Kumar Gupta | Internal Medicine | 900 N. 1st Street, Springfield, IL 62702-3749 | 2007-04-17 |
1063535029 | Lucinda A Hany | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2007-04-06 |
1558458349 | John D. Zander | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
1366539165 | J. Michael Zinzilieta | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225135171 | Donald P Kratz | Obstetrics & Gynecology | 1135 E Lakewood St, Suite112, Springfield, MO 65810-2434 | 2006-09-20 |
1134142987 | Robert Allen Shearer | Obstetrics & Gynecology | 801 Hill St, Springfield, TN 37172-2951 | 2006-07-25 |
1629031448 | Howard G Trietsch | Obstetrics & Gynecology | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2006-04-11 |
1861454092 | James Lynn Cromwell | Obstetrics & Gynecology | 2121 East High Street, Springfield, OH 45505-1368 | 2006-04-04 |
1649540592 | Dr James L Cromwell Md Inc | Obstetrics & Gynecology | 2121 E High St, Springfield, OH 45505-1368 | 2012-01-10 |
1821279928 | Dalila D. Harvey -granger | Obstetrics & Gynecology | 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826 | 2007-11-16 |
1285789651 | Marilyn Anne Hajar | Obstetrics & Gynecology | 3550 Main St, Suite 201, Springfield, MA 01107-1089 | 2007-01-24 |
1386744068 | Randolph W. Roller | Obstetrics & Gynecology | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-09-23 |
1841398401 | Woman's Clinic, Inc | Obstetrics & Gynecology | 1135 E Lakewood St, Suite112, Springfield, MO 65810-2434 | 2006-09-20 |
1285731141 | David L Redfern Jr. | Obstetrics & Gynecology | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2006-09-20 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.