Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 195818-3 | NY |
NPI | 1023068640 |
---|---|
Provider Name | G Michael Ortiz |
First Address | Saratoga Springs, NY 12866-6049 |
Second Address | Saratoga Springs, NY 12866-6049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 01/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000434014010 | BLUE SHIELD OF NORTHEASTE (01) | NY |
01492488 | (05) | NY |
10001523 | CAPITAL DISTRICT PHYSICIA (01) | NY |
1099054 | GHI PPO (01) | NY |
24118 | MOHAWK VALLEY PHYSICIANS (01) | NY |
929454 | GHI HMO (01) | NY |
F81438 | (02) | NY |
G004S24710 | EMPIRE BCBS (01) | NY |
P00291581 | RAILROAD MEDICARE (01) | NY |