Larry Lee Ertel (NPI# 1063479954, PAC ID# 8820989544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063479954 |
| PAC ID by PECOS | 8820989544 |
| Professional Enrollment ID | I20050325000317 |
| Full Name | Larry Lee Ertel |
| Organization Legal Name | CLARK REGIONAL PHYSICIAN PRACTICES LLC |
| Address |
1520 Boonesboro Rd Winchester KY 40391-8816 |
| Phone Number | 8597440067 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9739337569 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180092 | CLARK REGIONAL MEDICAL CENTER |
| 181301 | MARCUM AND WALLACE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1520 Boonesboro Rd, Winchester, KY 40391-8816 | 8597440067 | CLARK REGIONAL PHYSICIAN PRACTICES LLC |
| Organization Legal Name | CLARK REGIONAL PHYSICIAN PRACTICES LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex P Gauthier | Internal Medicine | Clark Regional Physician Practices LLC | 175 Hospital Dr, Winchester, KY 40391-9591 |
| Charles John Arnold Jr. | Internal Medicine | Clark Regional Physician Practices LLC | 120 Professional Ave, Winchester, KY 40391-1116 |
| Stacey M Anderson | Nurse Practitioner | Clark Regional Physician Practices LLC | 8 Linville Dr, Paris, KY 40361-2128 |
| David Ashley Mcmenamin | Gastroenterology | Clark Regional Physician Practices LLC | 129 Stone Trace Dr, Mt Sterling, KY 40353-9386 |
| John P Tuttle Jr. | Urology | Clark Regional Physician Practices LLC | 1114 Mccann Dr, Winchester, KY 40391-1157 |
| Thomas J Burchett | Family Medicine | Clark Regional Physician Practices LLC | 455 Bullion Blvd, Winchester, KY 40391-2933 |
| Rebecca D Bartee | General Surgery | Clark Regional Physician Practices LLC | 68 E Elkins St, Stanton, KY 40380-2311 |
| Rebecca J Alexander | Nurse Practitioner | Clark Regional Physician Practices LLC | 225 Hospital Dr, Winchester, KY 40391-7676 |
| Kathryn B. Jones | Internal Medicine | Clark Regional Physician Practices LLC | 129 Stone Trace Dr, Mt Sterling, KY 40353-9386 |
| Maryann Hall | Physician Assistant | Clark Regional Physician Practices LLC | 129 Stone Trace Dr, Mt Sterling, KY 40353-9386 |
| Street Address |
1520 BOONESBORO RD |
| City | WINCHESTER |
| State | KY |
| Zip | 40391-8816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Griffith | Pediatric Medicine | Clark Regional Physician Practices LLC | 1520 Boonesboro Rd, Winchester, KY 40391-8816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles John Arnold Jr. | Internal Medicine | Clark Regional Physician Practices LLC | 120 Professional Ave, Winchester, KY 40391-1116 |
| Terry Troutt | Physical Medicine and Rehabilitation | 136 Professional Ave, Winchester, KY 40391-1116 | |
| Aleksandr Mogilevski | Neurology | 128 Professional Ave, Winchester, KY 40391-1116 | |
| August J Ott | Internal Medicine | 134 Professional Ave, Winchester, KY 40391-1116 | |
| Perry N Williams Ii | Chiropractic | 1199 W Lexington Ave, Winchester, KY 40391-1134 | |
| Travis S Ruda | Chiropractic | Winchester Chiropractic | 1199 W Lexington Ave, Winchester, KY 40391-1134 |
| Mary F Hardin | Nurse Practitioner | Clark County Health Department | 400 Professional Ave, Winchester, KY 40391-1147 |
| Sherrie Y Bailey | Nurse Practitioner | Clark County Health Department | 400 Professional Ave, Winchester, KY 40391-1147 |
| Wayne L Iverson | Cardiovascular Disease (cardiology) | 1300 W Lexington Ave, Suite 3, Winchester, KY 40391-1154 | |
| Ara Samuel Makdessian | Otolaryngology | Bluegrass Ear, Nose and Throat Clinic | 205 Floyd Clay Dr, Suite 3, Winchester, KY 40391-1156 |
| Find all physicians in zip 40391 | |||
| City | WINCHESTER |
| Zip Code | 40391 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WINCHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Larry Lee Ertel.
| 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.