Alexander William Ortiz, DO

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

2022-02862 Issued in NC

Practice address

431 Meadowlark St
Shaw Afb, SC 29152-5019

Phone

(803) 895-2273

Fax

(803) 895-6063

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: alexander.ortiz@hca6.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2022.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1356928014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 TOMENTOSA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292094456",
            "telephone_number": "704-989-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-2273",
            "fax_number": "803-895-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ALEXANDER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NC",
            "license": "2022-02862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seann Meyer, DMD
• Jacqueline Mintz, ARNP-FNP
• National Vision, Inc.
• Megan Nguyen
• Samantha Nixon, DMD
• Logan Parrott, M.D.
• Rayan Paul, PHARMD
• Daniel Bryce Petersen, D.M.D.
• Roberta Pound, RN
• Jessica A. Pownell

• All providers in Shaw Afb, SC
• Military Health Care Provider in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.