NPI Code Detail JSON Logo

1619368313 NPI number — ELAINE RIEFKOHL ORTIZ MD

NPI Number: 1619368313
Health Care Provider/Practitioner: ELAINE RIEFKOHL ORTIZ MD

Information about “1619368313” NPI (ELAINE RIEFKOHL ORTIZ MD) exists in 1619368313 in HTML format HTML  |  1619368313 in plain Text format TXT  |  1619368313 in PDF (Portable Document Format) PDF  |  1619368313 in an XML format XML  formats.

NPI Number : 1619368313 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619368313",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIEFKOHL ORTIZ",
    "FirstName": "ELAINE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RIEFKOHL ORTIZ",
    "OtherFirstName": "ELAINE",
    "OtherMiddleName": "JANICE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3730 TABS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UNIONTOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44685-9562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-563-0618",
    "MailingAddressFaxNumber": "330-563-0604",
    "FirstLinePracticeLocationAddress": "4730 N HABANA AVE STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33614-7165",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-955-4289",
    "PracticeLocationAddressFaxNumber": "813-537-1034",
    "EnumerationDate": "02/17/2015",
    "LastUpdateDate": "02/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "036164232",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "130887",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "ME137283",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "0101266870",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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