Ortansa, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42568 Issued in AZ

Legal business name

ORTANSA, PC

Practice address

1800 E Van Buren St.
Phoenix, AZ 85006-3742

Phone

(602) 251-8316

Fax

(480) 333-5165

NPI assigned

Sep 23, 2012

Organization subpart

No

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

Authorized official

Name

Mirela E. Ponduchi, MD

Title

President

Phone

(312) 218-6820

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1376894923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD",
            "address_2": "STE 1630-463",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "312-218-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8316",
            "fax_number": "480-333-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTANSA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-23",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "PONDUCHI",
        "authorized_official_first_name": "MIRELA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-218-6820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "743215",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Orsini, LCSW
• Eva Karin Orso, PT
• Bozena Orszulak, PTA
• Lauren Orszulak, M.S., CCC-SLP
• Kevin James Ortale, DDS
• Jicelle Ortega Emigdio
• Natalia Nicole Ortega Felix
• Alexis Marie Ortega
• Andrea Nicole Ortega
• Cristy Yaneth Ortega, MD

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.