Dr. Larry L Ertel
M.D. | Pediatrics | Male
Dr. Larry L Ertel, M.D. is a Saint Petersburg, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Larry L Ertel is
620 10th St N Ste 1d, Saint Petersburg, Florida - 33705-1407. He can be contacted on phone at
727-824-7161 and fax number 727-824-7163.
Dr. Larry L Ertel is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Larry L Ertel is
1063479954 which was assigned by NPPES on 26 Apr, 2006 and it was last updated on 13 Jan, 2023.
Dr. Larry L Ertel license number is
35650 for Pediatrics (208000000X) in Kentucky.
Dr. Larry L Ertel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Larry L Ertel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Larry L Ertel |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Larry L Ertel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 620 10th St N Ste 1d
Saint Petersburg, FL, 33705-1407
United States |
|---|
| Phone Number : | 727-824-7161 |
|---|
| Fax Number : | 727-824-7163 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063479954 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 26 Apr, 2006 |
|---|
| Last Updated On : | 13 Jan, 2023 |
|---|
Medicare Participation:
Dr. Larry L Ertel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8820989544 |
|---|
| Medicare Enrollment ID : | I20221111000252 |
|---|
| Primary Specialty : | Internal Medicine |
|---|
| Medical School : | University Of Kentucky College Of Medicine |
|---|
| Graduation Year : | 1992 |
|---|
| Accepts Medicare? | Yes. Dr. Larry L Ertel accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Larry L Ertel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Larry L Ertel is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Baycare Medical Group, Inc. | 6406753623 | 757 | 620 10th St N
St Petersburg, FL - 337051407 | Yes |
| Baycare Medical Group, Inc. | 6406753623 | 757 | 2461 Enterprise Rd
Suite C
Clearwater, FL - 337631726
Ph: 7277255060 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry L Ertel are as mentioned. Primary taxonomy code for Dr. Larry L Ertel, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 35650 | KY |
| 208000000X | Pediatrics | Yes | 35650 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larry L Ertel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0702001 | MEDICARE ID-Type Unspecified | KY | |
| 64012636 | MEDICAID | KY | |
| H24943 | MEDICARE UPIN | KY | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | larry.ertelMD@direct.mybaycare.org
| | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 2995 Drew St Fl 2,
Clearwater, FL, 33759-3012
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 620 10th St N Ste 1d
Saint Petersburg, FL, 33705-1407
United States |
|---|
| Phone Number : | 727-824-7161 |
|---|
| Fax Number : | 727-824-7163 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Larry L Ertel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.