Joe M Etter, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L9685 Issued in TX

Practice address

312 E Renfro St
Suite 101
Burleson, TX 76028-3947

Phone

(817) 295-3100

Fax

(817) 295-3158

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: joe.etter.1@8334.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8334/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1336197599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "SUITE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-3100",
            "fax_number": "817-295-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "SUITE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-3100",
            "fax_number": "817-295-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "JOE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181100201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esoteric Transportation LLC
• Esoteric Transportation LLC
• Jennifer Espinal, MD
• Tabatha Estes, CSFA
• Christine Etheridge, LPC
• Megan Eubank, AU.D.
• Derek Demone Evans, CSFA
• Lori E Evans, RDMS,RVT
• Phillip T Evans, D.O.
• Von L Evans Jr., MD

• Internal Medicine Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.