Marc Ettensohn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

TRN17823 Issued in FL

Practice address

University of Florida 1600 SW Archer Rd
Gainesville, FL 32610-3003

Phone

(859) 494-2950

NPI assigned

Jun 6, 2012

Last updated

Nov 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Louisville School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mfe Psychiatry LLCGroup PAC ID 7315369352, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marc.ettensohnmd@direct.mybaycare.org

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.

• Mfe Psychiatry LLC

  dba Cornerstone Psychiatric Care

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1285256040

  Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• Baycare Behavioral Health Associates LLC

  • Psychiatry Physician
  • Lutz, FL
  • NPI 1245502152
  Medicare reassignment NPD
• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1225312549
  Medicare reassignment NPD
• Behavioral Health Management Services, Inc.

  dba BayCare Life Management

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
  • NPI 1417052713
  Medicare reassignment NPD
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Medicare reassignment NPD
• Baycare Behavioral Health Associates LLC

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1952856858
  NPD
• Baycare Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trinity, FL
  • NPI 1437431467
  NPD
• Baycare Behavioral Health, Inc

  dba BH Mandala Urgent Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1801611132
  NPD
• Behavioral Health Management Services, Inc.

  dba BayCare Life Management

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valrico, FL
  • NPI 1215403662
  NPD
• Winter Haven Hospital Inc

  dba WH Physician Billing EKG

  • Clinical Cardiac Electrophysiology Physician
  • Winter Haven, FL
  • NPI 1780150524
  NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1861753899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHIATRY",
            "address_2": "2995 DREW STREET",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF FLORIDA 1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "859-494-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTENSOHN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN17823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Julian Estrada
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• Eswt Orthopedics, LLC
• Alicia Lyn Eubank
• Diana Ruth Euler, RPH
• Tammy Y Euliano, MD
• Aleena Eunus
• Cristina Cabezas Eury, BA, LMT

• Psychiatry Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.