Robert J. Aertker, III M.D. L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD.201790 Issued in LA

Legal business name

ROBERT J. AERTKER, III M.D. L.L.C.

Practice address

136 Tower Rd
Crowley, LA 70526-2211

Phone

(337) 783-4034

Fax

(337) 783-4053

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Joseph Aertker III, M.D.

Title

Internist

Phone

(337) 783-4043

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1699083188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705270444",
            "telephone_number": "337-783-4034",
            "fax_number": "337-783-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 TOWER RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262211",
            "telephone_number": "337-783-4034",
            "fax_number": "337-783-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. AERTKER, III M.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "AERTKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "337-783-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD.201790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500526",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780877944",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Crowley, LA
• Providers in Crowley, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.