Lucy Ward Ertenberg, M.D.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

ME44448 Issued in FL

Practice address

2445 Lane Park Rd
Tavares, FL 32778-9648

Phone

(352) 742-6813

Fax

(352) 343-0325

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lucy.ertenberg.1@22709.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitas Solutions Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1861666497
  Medicare reassignment NPD
• Hospice of Wake County, Inc.

  • Community Based Hospice Care Agency
  • Raleigh, NC
  • NPI 1518974609

  Family Medicine

  Medicare reassignment NPD
• Transitions Medical Partners LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1437727542
  Medicare reassignment
• Hospice of Wake County, Inc.

  • Community Based Hospice Care Agency
  • Raleigh, NC
  • NPI 1114034121
  NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)
• Cornerstone Companion Services, LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1811440910
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1376697649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 LANE PARK RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789648",
            "telephone_number": "352-742-6813",
            "fax_number": "352-343-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 LANE PARK RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789648",
            "telephone_number": "352-742-6813",
            "fax_number": "352-343-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTENBERG",
        "first_name": "LUCY",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44448",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME44448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Michelle England, MS
• Jazziona Engram
• Bibi Shereen Eoonous, D.O.
• Equipped Care LLC
• Kelly Ann Ergle
• Jon Esparza, CRNA
• Nathalie Vanessa Espinal, CC
• Karen K Estill, PHD
• Tracey Lynne Estok, PT
• Thendrex Estrella, M.D.

• Hospice and Palliative Medicine (Family Medicine) Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.