Healthcare Provider Details

I. General information

NPI: 1144651555
Provider Name (Legal Business Name): ORNDOFF PODIATRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 STRATFORD CT
NEW STANTON PA
15672-9476
US

IV. Provider business mailing address

879 HIDDEN VIEW WAY
MORGANTOWN WV
26508-4874
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-1234
  • Fax: 412-372-4424
Mailing address:
  • Phone: 724-331-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC004795L
License Number StatePA

VIII. Authorized Official

Name: DR. BENJAMIN ORNDOFF
Title or Position: OWNER/PRESIDENT
Credential: DPM
Phone: 724-331-0282