Active NPI
Jacinto Ricardo Orozco, M.D.
- Surgery Physician
- Goldendale, WA
National Provider Identifier
1154373215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30926
- Practice address
- 310 S Roosevelt Ave
Goldendale, WA 98620-9201 - Phone
- (509) 773-1057
- Fax
- (509) 773-1064
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30926 | AZ | Primary |
Addresses
Primary practice location
310 S Roosevelt Ave
Goldendale, WA 98620-9201
Mailing address
310 S Roosevelt Ave
Goldendale, WA 98620-9201
Phone (509) 773-1057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745309 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30926 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Diagnostic Pathology Associates PLLC | Past | Accepting new patients | |
| Emergency Surgical Services of Arizona, PLLC | Surgery | Past | Accepting new patients |
| Presidio Surgical Group, P.C. | Surgery | Past | Accepting new patients |
| Carondelet Specialist Group, Inc | Surgery | Past | Accepting new patients |
Interoperability endpoints
- jorozco@kvhealthfm.gwaydirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Tucson, AZ
- NPI 1326222696
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tucson, AZ
- NPI 1891978516
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360368000000",
"number": "1154373215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S ROOSEVELT AVE",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986209201",
"telephone_number": "509-773-1057",
"fax_number": "509-773-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S ROOSEVELT AVE",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986209201",
"telephone_number": "509-773-1057",
"fax_number": "509-773-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROZCO",
"first_name": "JACINTO",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2013-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "30926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "745309",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldendale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.