Organization Active NPI

William D. Ertag, MD P.a.

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1285667907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME25371 Issued in FL
Legal business name
WILLIAM D. ERTAG, MD P.A.
Practice address
720 Goodlette Rd N
Suite 204
Naples, FL 34102-5656
Phone
(239) 430-0800
Fax
(239) 430-0538
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Ann Zaranek
Title
Office Manager
Phone
(239) 430-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME25371 FL Primary

Addresses

Primary practice location

720 Goodlette Rd N
Suite 204
Naples, FL 34102-5656

Mailing address

720 Goodlette Rd N
Suite 204
Naples, FL 34102-5656
Phone (239) 430-0800

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285667907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N",
            "address_2": "SUITE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-430-0800",
            "fax_number": "239-430-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N",
            "address_2": "SUITE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-430-0800",
            "fax_number": "239-430-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. ERTAG, MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZARANEK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-430-0800"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME25371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.