ERTEL MEDICINE & PEDIATRICS-POWELL, PSC (NPI# 1912054388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912054388 |
Entity Type | Organization |
Organization Name | ERTEL MEDICINE & PEDIATRICS-POWELL, PSC |
Practice Address |
68 E Elkins St Stanton KY 40380-2311 |
Mailing Address |
Po Box 296 Stanton KY 40380-0296 |
Practice Telephone | 6066632511 |
Practice Fax Number | 6066630711 |
Mailing Telephone | 6066632511 |
Mailing Fax Number | 6066630711 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2014-08-20 |
Authorized Official Name | LARRY ERTEL (OWNER) |
Authorized Official Telephone | 6066632511 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 35650 | KY | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 35650 | KY | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
35650 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100003440 | 05 |
Street Address |
68 E ELKINS ST |
City | STANTON |
State | KY |
Zip Code | 40380-2311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871528760 | Scott Alan Seitz | Registered Nurse | 68 E Elkins St, Stanton, KY 40380-2311 | 2006-07-11 |
1023335718 | Kentucky Hospital, LLC | Clinic/Center | 68 E Elkins St, Stanton, KY 40380-2311 | 2010-04-21 |
1770809808 | Kentucky Hospital, LLC | Nurse Practitioner | 68 E Elkins St, Stanton, KY 40380-2311 | 2010-04-14 |
1346433968 | Sarah Crabtree | Nurse Practitioner | 68 E Elkins St, Stanton, KY 40380-2311 | 2007-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
1457624488 | Powell County Schools | Local Education Agency (LEA) | 691 Breckinridge St., Stanton, KY 40380 | 2012-02-22 |
1740570191 | Kimberly Blevins Moore | Pharmacist | 125 N. Main Street, Stanton, KY 40380 | 2011-04-19 |
1154653897 | Evergreen Community Supports, LLC | Community/Behavioral Health | 316b Steam Shovel Road, Stanton, KY 40380 | 2010-02-05 |
1235265117 | David Glen Barnes | Chiropractor | 242 Washington St., Stanton, KY 40380 | 2007-02-26 |
1184779761 | Donald W Rogers | Psychologist | 203 North Main St, Stanton, KY 40380 | 2007-01-24 |
1104834779 | Laura Tipton Cockrell | Physical Therapist | 436 S Main St, Stanton, KY 40380 | 2006-08-03 |
1689681363 | Kimberly Anne Sparks | Occupational Therapist | 436 South Main Street, Stanton, KY 40380 | 2006-08-02 |
1245246867 | Rosemary Stuehler Capo | Occupational Therapist | 436 South Main St, Stanton, KY 40380 | 2006-08-01 |
Find all providers in zip 40380 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
1679560866 | Martin County Hospital District | Clinic/Center | 600 East I-20, Stanton, TX 79782 | 2005-10-03 |
1396369906 | Willis F Gaffney M.d. P.C. | Clinic/Center | 2939 S Sheridan Rd, Stanton, MI 48888-9285 | 2020-05-31 |
1982976700 | Casa San Pio Clinics of Appalachia, LLC | Clinic/Center | 638 E College Ave, Ste B, Stanton, KY 40380-2363 | 2012-02-09 |
1487806147 | Ivy Street Medical LLC | Clinic/Center | 902 Ivy St, Stanton, NE 68779-2348 | 2008-10-14 |
1700990462 | Regional Physicians Corporation II | Clinic/Center | 68 East Elkins Street, Stanton, KY 40380-0190 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
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.