Andrew W Ertel (NPI# 1679720718, PAC ID# 0143451732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1679720718 |
| PAC ID by PECOS | 0143451732 |
| Professional Enrollment ID | I20140325000314 |
| Full Name | Andrew W Ertel |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Address |
201 E University Pkwy Dept of Radiology Baltimore MD 21218-2829 |
| Phone Number | 4105542728 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1557589157 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E University Pkwy, Dept of Radiology, Baltimore, MD 21218-2829 | 4105542728 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 | 2028776429 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 110 Irving St Nw, Washington, DC 20010-3017 | 2028772851 | MEDSTAR HEART INSTITUTE LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kimberly Smith | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750 |
| Igor Trilisky | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 6600 N Whipple St, Chicago, IL 60645-4121 |
| Behnaz Goudarzi | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 4460 Doncaster Dr, Ellicott City, MD 21043-6797 |
| David C Moses | Nuclear Medicine | Medstar Medical Group Radiology LLC | 750 Chapel Ridge Rd, Timonium, MD 21093-1897 |
| Navid R Homayouni | Nuclear Medicine | Medstar Medical Group Radiology LLC | 70 I St Se, Apt 932, Washington, DC 20003-4833 |
| Kaustubh Subhash Yadwadkar | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Sheil Y Shah | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Street Address |
201 E UNIVERSITY PKWY DEPT OF RADIOLOGY |
| City | BALTIMORE |
| State | MD |
| Zip | 21218-2829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Akber Turabi | Pain Management | Medstar Medical Group Anesthesiology LLC | 201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829 |
| Jane Lashley | Nurse Practitioner | Medstar Union Memorial Physicians LLC | 201 E University Pkwy, Baltimore, MD 21218-2829 |
| Sandeep Mishra | Internal Medicine | Medstar Union Memorial Physicians LLC | 201 E University Pkwy, Baltimore, MD 21218-2829 |
| Jonathan Watson | Emergency Medicine | Whc Physician Group LLC | 201 E University Pkwy, Medstar Un Memo Hosp, Baltimore, MD 21218-2829 |
| Calvin T Williams | Internal Medicine | Medstar Union Memorial Physicians LLC | 201 E University Pkwy, Baltimore, MD 21218-2829 |
| Loren A Connolly | Psychologist, Clinical | National Rehabilitation Hospital Inc | 201 E University Pkwy, Medical Affairs National Rehabilita, Baltimore, MD 21218-2829 |
| Amy W Gonzalez | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829 |
| Deidre Janelle Ammah | Neurology | Medstar Union Memorial Physicians LLC | 201 E University Pkwy, Baltimore, MD 21218-2829 |
| Meagan M Davis | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829 |
| Jeremy P Weiner | General Surgery | Medstar Good Samaritan Physicians LLC | 201 E University Pkwy, Baltimore, MD 21218-2829 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tazeen M Hashmi | Internal Medicine | 201 E University Hospital, Baltimore, MD 21218 | |
| Regina Anderson | Dermatology | 4100 N Charles St, Suite 114, Baltimore, MD 21218-1026 | |
| Nancy R Goldblatt | Clinical Social Worker | 1620 Roundhill Rd, Baltimore, MD 21218-2213 | |
| Robert J Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Sandra B Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Christy Mcdermott Wooton | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Jonathan A Johnson | General Surgery | 3801 Canterbury Rd, Unit 711, Baltimore, MD 21218-2376 | |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Patricia Marie Disharoon | Internal Medicine | 3414 Saint Paul St, Baltimore, MD 21218-2701 | |
| Diane F Gutterman | Psychiatry | 3501 Saint Paul St, Suite 142, Baltimore, MD 21218-2726 | |
| Find all physicians in zip 21218 | |||
| City | BALTIMORE |
| Zip Code | 21218 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BALTIMORE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.