Atilla Ertan MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ATILLA ERTAN MD PA

Practice address

6560 Fannin St
Ste 2208
Houston, TX 77030-2761

Phone

(713) 794-0001

Fax

(713) 793-7661

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Atilla Ertan, MD PA

Title

Gastroenterologist

Phone

(713) 794-0001

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1740486810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 497",
            "address_2": "P O BOX 4346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-794-0001",
            "fax_number": "713-793-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 2208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-794-0001",
            "fax_number": "713-793-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATILLA ERTAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "ERTAN",
        "authorized_official_first_name": "ATILLA",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "713-794-0001",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001EJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4458854",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV. #",
            "identifier": "1264459",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Athon, DMD
• Raghu Sudarshan Athre, MD
• Khannan Athreya
• Andrew Nagy Atia, M.D.
• Jo Ann Atilano, LMT
• Sharon Matendechere Atito, PHARMD
• Mary Aifekelu Ativie, RN
• Yasmin Atiya, SLP
• Zakiya Atiyah
• Adex Atiyota

• Gastroenterology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.