MEDICARE: ROBERT ALAN ORTMANN 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	207RR0500X	Rheumatology Physician	2001005641	MO
2	207RR0500X	Rheumatology Physician	E-5590	AR
3	207RR0500X	Rheumatology Physician	01072827A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00415665	OTHER	MO	RAILROAD MEDICARE
5	660003367	OTHER	MO	RR MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	E-5590	OTHER	AR	ARKANSAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1215987185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAN ORTMANN MD

Provider Business Mailing Address
First Line	:	LILLY CORPORATE CTR
Second Line	:	DC 1940
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46285-0001
Country	:	US
Telephone Number	:	317-433-2779
Fax Number	:

Provider Business Practice Location Address
First Line	:	LILLY CORPORATE CTR
Second Line	:	DC 1940
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46285-0001
Country	:	US
Telephone Number	:	317-433-2779
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/05/2013

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Directions to “ ROBERT ALAN ORTMANN MD” Practice Location

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