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NPI Code Detail

MEDICARE: DR. ANAHI M. ORTIZ MD

MEDICARE: DR. ANAHI M. 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
1208000000XPediatrics Physician35063104OOK
2208000000XPediatrics Physician35.063104OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023008356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANAHI M. ORTIZ MD
Provider Business Mailing Address
First Line : 7727 SUDBROOK SQ
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-9688
Country : US
Telephone Number : 614-939-5675
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3783
Country : US
Telephone Number : 614-645-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 09/22/2011

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Directions to “ DR. ANAHI M. ORTIZ MD” Practice Location

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