Amy Kiley Ertel, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01049468A Issued in IN

Legal business name

AMY KILEY ERTEL, MD

Practice address

11686 Maple St
Fishers, IN 46038-2804

Phone

(317) 577-2777

Fax

(317) 577-2954

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

No

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

Physician

Phone

(317) 577-2777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Kiley Ertel, M.D.

  • General Practice Physician
  • Fishers, IN
  • NPI 1366680167
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1457648008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11686 MAPLE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382804",
            "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": "11686 MAPLE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382804",
            "telephone_number": "317-577-2777",
            "fax_number": "317-577-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KILEY ERTEL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KILEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-577-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01049468A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.