Richard Anthony Ortoski, D.O.

Individual provider Active NPI Family Medicine Physician · Fairview, PA

NPI 1477518124 · NPPES record last updated Jan 30, 2012

Key facts

NPI
1477518124
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
OS005749L (PA)
Practice address
7686 West Ridge Road
Fairview, PA 16415
Phone
(814) 774-3191
Fax
(814) 774-0681
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS005749LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005749L PA Yes

Addresses

Primary practice location

7686 West Ridge Road
Fairview, PA 16415

Mailing address

One Lecom Place
Erie, PA 16505
Phone (814) 868-2524

Other identifiers

IdentifierTypeStateIssuer
0010368590001MedicaidPA

Other providers in Fairview, PA

All providers in Fairview, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.