Active NPI
Alexander Ortiz, MD
- Emergency Medicine Physician
- Dover, NH
National Provider Identifier
1457511297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15260
- Practice address
- 789 Central Ave
Emergency Dept
Dover, NH 03820-2526 - Phone
- (631) 444-2754
- Fax
- (631) 444-6031
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15260 | NH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
789 Central Ave
Emergency Dept
Dover, NH 03820-2526
Mailing address
PO Box 845398
Boston, MA 02284-5398
Phone (603) 742-5252
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00979653 | Other | NH | RRMCARE THRU SCEP |
| 32000704 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15260 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Ocumed LLC | Emergency Medicine | Current | Accepting new patients |
| Seacoast Emergency Physicians, PC | Current | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250
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.
-
- Emergency Medicine Physician
- Dover, NH
- NPI 1417788811
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dover, NH
- NPI 1134155872
-
- Emergency Medicine Physician
- Lee, NH
- NPI 1740410133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1457511297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845398",
"city": "BOSTON",
"state": "MA",
"postal_code": "022845398",
"telephone_number": "603-742-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"address_2": "EMERGENCY DEPT",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "15260",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE THRU SCEP",
"identifier": "P00979653",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32000704",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.