MEDICARE: SCOTT JOSEPH ORTEGA

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	207Q00000X	Family Medicine Physician	RN.0120780	CO
2	363LP2300X	Primary Care Nurse Practitioner	APN.1001832-NP	CO

General Provider Information

NPI Number	:	1063363901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT JOSEPH ORTEGA

Provider Business Mailing Address
First Line	:	25 S FLOWER ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1206
Country	:	US
Telephone Number	:	720-979-1588
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 S FLOWER ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1206
Country	:	US
Telephone Number	:	720-979-1588
Fax Number	:

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	04/06/2026

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Directions to “ SCOTT JOSEPH ORTEGA ” Practice Location

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