Active NPI
Lisa Ortiz
- Chiropractor
- Frederick, MD
National Provider Identifier
1366471740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01856
- Practice address
- 9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710 - Phone
- (301) 620-8566
- Fax
- (301) 620-8568
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S01856 | MD | Primary |
Addresses
Primary practice location
9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710
Mailing address
9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710
Phone (301) 620-8566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061027000103 | MD | Practitioner - Chiropractic | 2668479064 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spring Ridge Chiropractic of Boonsboro LLCSpring Ridge Chiropractic LLC
Practice addresses (Care Compare)
20311 Lappans Rd
Unit 102
Boonsboro, MD 21713-2086
Phone (301) 620-8566
9093 Ridgefield Dr
Frederick, MD 21701-6711
Phone (301) 620-8566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S01856 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Ridge Chiropractic of Boonsboro LLC | Chiropractor | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
20311 Lappans Rd
Ste 102
Boonsboro, MD 21713
Phone (301) 620-8566
Organizations & group practices 3
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.
-
- Chiropractor
- Boonsboro, MD
- NPI 1083346159
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366471740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9093 RIDGEFIELD DR",
"address_2": "STE 107",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016710",
"telephone_number": "301-620-8566",
"fax_number": "301-620-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9093 RIDGEFIELD DR",
"address_2": "STE 107",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016710",
"telephone_number": "301-620-8566",
"fax_number": "301-620-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.