MEDICARE: PHILIP ORNSTEIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	47	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0803622	OTHER	AETNA
2	10050	OTHER	PACIFICARE
3	10979	OTHER	NEVADACARE
4	653976	OTHER	UNITED HC
5	8608645000	OTHER	CULINARY

General Provider Information

NPI Number	:	1376622456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP ORNSTEIN DPM

Provider Business Mailing Address
First Line	:	5450 W SAHARA AVE
Second Line	:	STE. 130
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0380
Country	:	US
Telephone Number	:	702-388-1006
Fax Number	:	702-388-1751

Provider Business Practice Location Address
First Line	:	5450 W SAHARA AVE
Second Line	:	STE. 130
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0380
Country	:	US
Telephone Number	:	702-388-1006
Fax Number	:	702-388-1751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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Directions to “ PHILIP ORNSTEIN DPM” Practice Location

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