George L. Ettel Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME44450 Issued in FL

Practice address

8950 Dr Martin Luther King St N
Suite 180
St Petersburg, FL 33702-3001

Phone

(727) 576-8900

Fax

(727) 570-9045

NPI assigned

Sep 15, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: george.ettel@hca4.eclinicaldirectplus.com

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

• Suncoast Medical Clinic LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1760664882
  NPD (past) Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1619962636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR. STREET, NORTH",
            "address_2": "SUITE 180",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING ST N",
            "address_2": "SUITE 180",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTEL",
        "first_name": "GEORGE",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040585000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyaira Ester, OTR
• Alexandra Valeria Estevez, LCSW
• Carlos M Estevez, M.D.
• Yuleydis Estrada Rico
• Ethos Health Tampa 2, LLC
• Narissa Etwaroo, MD
• Roxana Vanessa Eubanks, PSY.D
• Amarilys Eugelles, PMHNP
• Euphagia LLC (Radiant Results Speech and Swallowing Therapy)
• Sophie Eusebio-Perea, ARNP

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.