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ERTEL MEDICINE & PEDIATRICS, PSC
NPI 1003842501
Clinic/Center - Rural Health in Winchester, KY

Active since June 25, 2006
1520 BOONESBORO RD, WINCHESTER, KY 40391(859) 744-0067(859) 744-0042 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ertel Medicine & Pediatrics, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERTEL MEDICINE & PEDIATRICS, PSC (NPI 1003842501) is a healthcare organization registered as a rural health in Winchester, Kentucky and active in the NPI registry since June 2006. The organization lists Larry Ertel, Owner, as its authorized official.

NPPES Registry Identity

NPI1003842501
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameERTEL MEDICINE & PEDIATRICS, PSC
Location Address1520 BOONESBORO RDWinchester, KY 40391-8816
Mailing Address1520 Boonesboro RdWinchester, KY 40391-8816 · (859) 744-0067 · Fax (859) 744-0042
Phone(859) 744-0067
Fax(859) 744-0042
Organization SubpartNo
Authorized OfficialLarry ErtelOwner · (859) 744-0067
Enumeration DateJune 25, 2006
Last NPPES UpdateAugust 22, 2014
✔ NPI 1003842501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in KY · 900132
Also ListedInternal MedicineTaxonomy 207R00000X · License 35650 (KY)
Also ListedPediatricsTaxonomy 208000000X
1520 BOONESBORO RD, Winchester, KY 40391
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Other Identifiers 2

Medicare UPINH24943KY
Medicare OSCAR/certification183892KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ANN GRIFFITH M.D.
Pediatrics
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
JEALENA C REESOR APRN
Nurse Practitioner
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
DR. LATONIA RICE SWEET
Psychiatry & Neurology (Psychiatry)
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
MS. BRENDA H CAUDILL APRN
Nurse Practitioner
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
DR. SHELLY M ROGERS MD
Internal Medicine
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
COURTNEY REED APRN
Nurse Practitioner
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Clinic/Center (Rural Health)
1520 BOONESBORO RD
WINCHESTER, KY 40391
Clark County (859) 744-0067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ertel Medicine & Pediatrics, Psc's NPI number?

The NPI number for Ertel Medicine & Pediatrics, Psc is 1003842501. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Ertel Medicine & Pediatrics, Psc located?

Ertel Medicine & Pediatrics, Psc is located at 1520 Boonesboro Rd, Winchester, KY 40391. The listed phone number is (859) 744-0067.

What is Ertel Medicine & Pediatrics, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Ertel Medicine & Pediatrics, Psc was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.