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1619368313

NPI Code Detail

MEDICARE: DR. ELAINE RIEFKOHL ORTIZ MD

MEDICARE: DR. ELAINE RIEFKOHL ORTIZ MD

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	207P00000X	Emergency Medicine Physician	036164232	IL
2	207P00000X	Emergency Medicine Physician	130887	OH
3	207P00000X	Emergency Medicine Physician	ME137283	FL
4	207P00000X	Emergency Medicine Physician	0101266870	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	31555R	OTHER	PR	LISCENCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619368313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELAINE RIEFKOHL ORTIZ MD

Provider Business Mailing Address
First Line	:	3730 TABS DR
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-9562
Country	:	US
Telephone Number	:	330-563-0618
Fax Number	:	330-563-0604

Provider Business Practice Location Address
First Line	:	4730 N HABANA AVE STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7165
Country	:	US
Telephone Number	:	813-955-4289
Fax Number	:	813-537-1034

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

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	02/20/2025

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Directions to “ DR. ELAINE RIEFKOHL ORTIZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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