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STEPHEN D ERTISCHEK MD, NPI 1164424420

Internal Medicine in OXFORD, NC

Last Updated on : Jun 30,2010

About STEPHEN D ERTISCHEK (NPI 1164424420)


STEPHEN D ERTISCHEK is an Internal Medicine provider in OXFORD, United States. His medical specialization is Internal Medicine .

1164424420 is NPI number of STEPHEN D ERTISCHEK.

STEPHEN D ERTISCHEK's primary taxonomy code based on NPI Lookup is 207R00000X with license number 22710. This taxonomy code refers to Internal Medicine.

STEPHEN D ERTISCHEK has more than 16 years of experience.

STEPHEN D ERTISCHEK current practice location address is 1032 COLLEGE ST, OXFORD, NC. STEPHEN D ERTISCHEK can be reached out via phone at 919-693-6541 and via fax at 919-693-7396 .

You can also correspond with STEPHEN D ERTISCHEK through mail at mailing address 1032 COLLEGE ST, OXFORD, NC, United States. Mailing address contact number is 919-693-6541.

The enumeration date of STEPHEN D ERTISCHEK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.

1164424420 NPI Information

Name STEPHEN D ERTISCHEK
National Provider Id (NPI) 1164424420
Entity Type Individual
Gender M
Credential MD
Practice Address 1032 COLLEGE ST,
OXFORD, NC, United States
Practice Telephone 919-693-6541
Practice Fax Number 919-693-7396
Mailing Address 1032 COLLEGE ST ,
OXFORD, NC, United States
Mailing Telephone 919-693-6541
Mailing Fax Number 919-693-7396
Enumeration Date 01-Jun-2005
Last Updated Date 30-Jun-2010

STEPHEN D ERTISCHEK (NPI 1164424420) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine 22710 NC

STEPHEN D ERTISCHEK (NPI 1164424420) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207RG0300X Internal Medicine, Geriatric Medicine 22710 NC

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
202006D MEDICARE ID-Type Unspecified (04) NC Medicare Individual
30770 Other (non-Medicare) (01) NC BCBSNC individual
8930770 MEDICAID (05) NC
D62852 MEDICARE UPIN (02) NC

STEPHEN D ERTISCHEK (NPI 1164424420) Office Location

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FAQs

Whose NPI Number is 1164424420?

1164424420 is the NPI number of STEPHEN D ERTISCHEK.

What is the specialty for STEPHEN D ERTISCHEK?

The Specialty of STEPHEN D ERTISCHEK is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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