Individual provider Active NPI

Francisco Ortiz, P.A.

  • Physician Assistant
  • Medina, OH
National Provider Identifier
1154501344
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002659 Issued in OH
Practice address
970 E Washington St
Ste 203
Medina, OH 44256-3332
Phone
(330) 721-4955
Fax
(330) 721-4901
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002659 OH Primary

Addresses

Primary practice location

970 E Washington St
Ste 203
Medina, OH 44256-3332

Mailing address

747 Lawrence St
Medina, OH 44256-2556
Phone (440) 453-2666

Other practice location 1

26622 Lorain Road
North Olmsted, OH 44070-3204
Phone (440) 991-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000622 OH Practitioner - Physician Assistant 8820165376 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clecare Urgent Care LLCGroup PAC ID 0749647360, 4 clinicians
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

26622 Lorain Rd
North Olmsted, OH 44070-3204
Phone (440) 991-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002659OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Center Current Accepting new patients
Medina Emergency Associates LTD Past Accepting new patients
Crystal Clinic Inc Past Accepting new patients

Locations

368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1154501344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 LAWRENCE ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562556",
            "telephone_number": "440-453-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "STE 203",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-721-4955",
            "fax_number": "330-721-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26622 Lorain Road",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440703204",
            "country_code": "US",
            "telephone_number": "440-991-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.