Organization Active NPI

Ertel and Company

  • General Practice Physician
  • Indianapolis, IN
National Provider Identifier
1376957753
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01049468A Issued in IN
Legal business name
ERTEL AND COMPANY
Practice address
9795 Crosspoint Blvd
Suite 170
Indianapolis, IN 46256-3354
Phone
(317) 577-2777
Fax
(317) 577-2954
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Dr. Amy Kiley Ertel, M.D.NPI 1366680167
Title
Medical Director
Phone
(317) 577-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 01049468A IN Primary

Addresses

Primary practice location

9795 Crosspoint Blvd
Suite 170
Indianapolis, IN 46256-3354

Mailing address

9795 Crosspoint Blvd
Suite 170
Indianapolis, IN 46256-3354
Phone (317) 577-2777

National Provider Directory

National Provider Directory

Locations

9795 Crosspoint Blvd
Ste 170
Indianapolis, IN 46256
Phone (317) 577-2777

10945 Cork Pl
Indianapolis, IN 46236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1376957753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-577-2777",
            "fax_number": "317-577-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-577-2777",
            "fax_number": "317-577-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERTEL AND COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KILEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-577-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "01049468A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.