Active NPI
Stephen F Ortaldo, MD
- Family Medicine Physician
- Peoria, AZ
National Provider Identifier
1043346109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31573
- Practice address
- 7400 W Olive Ave
Peoria, AZ 85345-8889 - Phone
- (623) 487-8598
- NPI assigned
- Feb 25, 2007
- Last updated
- Jan 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31573 | AZ | Primary |
Addresses
Primary practice location
7400 W Olive Ave
Peoria, AZ 85345-8889
Mailing address
5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 364-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31573 | Other | AZ | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concentra Health Services, Inc. | Past | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Lankford Holdings Monogram, Inc | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Peoria, AZ
- NPI 1033368477
-
- Non-Pharmacy Dispensing Site
- Glendale, AZ
- NPI 1134561939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1043346109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "SUITE 1200 WEST",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "972-364-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 W OLIVE AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458889",
"telephone_number": "623-487-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTALDO",
"first_name": "STEPHEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "31573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "31573",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.