Provider Type Icon

DR. LUCY WARD ERTENBERG M.D. NPI 1376697649


NPI Information

NPI: 1376697649
Provider Name: DR. LUCY WARD ERTENBERG, M.D.
Classification: Family Medicine - 207QH0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

Organization: CAMPBELL UNIVERSITY HEALTH CENTER LLC

PECOS Registration: Yes

Address:
2445 LANE PARK RD
TAVARES, FL
ZIP 32778
Phone: (352) 742-6813
Get Directions

DR. Lucy Ward Ertenberg, M.D. is a hospice and palliative medicine family medicine in Tavares, FL with 50 years of experience. The provider is a family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. DR. Lucy Ward Ertenberg, M.D. NPI is 1376697649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

2445 LANE PARK RD
TAVARES, FL
ZIP 32778-648
Phone: (352) 742-6813
Fax: (352) 343-0325

The NPI 1376697649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 2/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME44448FLORIDANo
2207QH0002XFamily MedicineHospice and Palliative MedicineME44448FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D56669MEDICARE UPIN
253822YMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.