Active NPI
Enrique Jose Ordaz Vernet, M.D
- Pulmonary Disease Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2014-00848
- Practice address
- 208 Old Mocksville Rd
Statesville, NC 28625-1953 - Phone
- (704) 838-8240
- Fax
- (704) 924-5360
- NPI assigned
- Dec 3, 2007
- Last updated
- Jul 23, 2014
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2014-00848 | NC | Primary |
Addresses
Primary practice location
208 Old Mocksville Rd
Statesville, NC 28625-1953
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 838-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current | Accepting new patients | |
| Piedmont Healthcare, P.a. | Pulmonary Disease | Current | Accepting new patients |
Locations
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8240
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
Interoperability endpoints
- enriqueordaz@phc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1912999897
Pulmonary Disease
-
- Durable Medical Equipment & Medical Supplies
- Statesville, NC
- NPI 1639041320
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Health Lake Norman Hospital
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1285816157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-838-8240",
"fax_number": "704-924-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 OLD MOCKSVILLE RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251953",
"telephone_number": "704-838-8240",
"fax_number": "704-924-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDAZ VERNET",
"first_name": "ENRIQUE",
"middle_name": "JOSE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-03",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2014-00848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Omni Family of Services North Carolina Inc.
- Omni Family of Services North Carolina Inc.
- Open Arms Therapy & Home Solutions LLC
- Optimed Hospitalists
- Orbie E Ottey Jr DDS Professional Corporation
- Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Statesville)
- Cindy Osborne
- Brandon Ostwalt, MA, LPCA
- Our Fathers Place Inc
- Our Fathers Place Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.