GEORGE L. ETTEL, III DO – NPI #1861029076
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

GEORGE ETTEL, III is a military health care provider located in TINKER AFB, OK. NPPES has assigned the NPI number 1861029076 to GEORGE ETTEL, III on March 26, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was previously updated about 4 years ago on Mar 07, 2022. See the complete NPI profile for GEORGE ETTEL, III below.

NPI Profile for
GEORGE L. ETTEL, III

NPI Number
1861029076
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GEORGE L. ETTEL, III
Credentials
DO
Primary location
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145-8716
Phone: (727) 667-0390 Fax: (405) 736-3619
Mailing address
502 W HIGHLAND BLVD
INVERNESS, FL 34452-4720
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Inverness
Endpoint type
SOAP URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
502 W HIGHLAND BLVD,
INVERNESS, FL 77025-1669