Individual provider Active NPI

Donnaville Francisco Ortiz, MD

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1609991926
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00047550 Issued in WA
Practice address
616 Sixth Street
Bremerton, WA 98337
Phone
(360) 377-3776
Fax
(360) 479-0038
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047550 WA Primary

Addresses

Primary practice location

616 Sixth Street
Bremerton, WA 98337

Mailing address

PO Box 960
Bremerton, WA 98337
Phone (360) 478-2366

Other identifiers 1

IdentifierTypeStateIssuer
8479982MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070607000204 WA Practitioner - Family Practice 8921106444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Apr 27, 2022 Accepting new patients
Peninsula Community Health Services Family Medicine Current Accepting new patients
Peninsula Community Health Services Family Medicine Past Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

31 NE State Route 300
Ste 200
Belfair, WA 98528
Phone (360) 377-3779

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

19586 10th Ave NE
Poulsbo, WA 98370
Phone (360) 697-2122

627 W Franklin St
Shelton, WA 98584
Phone (360) 427-8940

3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773

Interoperability endpoints

  • Direct secure messaging: donnaville.ortiz.1@13902.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1609991926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-478-2366",
            "fax_number": "360-373-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SIXTH STREET",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-377-3776",
            "fax_number": "360-479-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DONNAVILLE",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8479982",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.