Rustico B. Ortiz, M.D.P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RO032199 Issued in MI

Legal business name

RUSTICO B. ORTIZ, M.D.P.C.

Practice address

3150 Hallmark CT
Saginaw, MI 48603-2173

Phone

(989) 793-4420

Fax

(989) 793-8577

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rustico B Ortiz, M.D.

Title

President

Phone

(989) 793-4420

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689624868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-793-4420",
            "fax_number": "989-793-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-793-4420",
            "fax_number": "989-793-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTICO B. ORTIZ, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "RUSTICO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-793-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RO032199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036714",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1107398752",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nolan Rupp
• Mackenzie Rusin
• Deborah Lee Russell, M.D.
• Mallori N Russell
• Teresa Lyn Russell, CPHT
• Christin Joy Rusz, D.P.T/A.T.C
• McKenna Rusz
• Danniel D Ruth Sr.
• Patrick Thomas Ruth, D.D.S.
• Shalynda Rentia Rutherford-Schrank, LLBSW

• Internal Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.