MEDICARE: DR. JORDAN LEIGH GLADYS-ORYHON DO

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	207RG0100X	Gastroenterology Physician	OS020657	PA
2	208M00000X	Hospitalist Physician	OS020657	PA
3	207R00000X	Internal Medicine Physician	OS020657	PA

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
2	14943765	OTHER		CAQH

General Provider Information

NPI Number	:	1457883332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN LEIGH GLADYS-ORYHON DO

Provider Business Mailing Address
First Line	:	2 ALLEGHENY CTR STE 530
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5404
Country	:	US
Telephone Number	:	412-330-5961
Fax Number	:	412-330-5844

Provider Business Practice Location Address
First Line	:	4815 LIBERTY AVE STE M56
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2156
Country	:	US
Telephone Number	:	412-359-8900
Fax Number	:	412-359-8977

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

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	06/05/2026

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