| Susana Ortiz, RDN | |
|
1017 Moravia St, Bethlehem, PA 18015-4500 | |
| (610) 730-3056 | |
| Not Available |
| Full Name | Susana Ortiz |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1017 Moravia St, Bethlehem, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881283810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007335 (Pennsylvania) | Primary |
| Provider Name | Lehigh Valley Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Ortiz, RDN 1017 Moravia St, Bethlehem, PA 18015-4500 Ph: (610) 730-3056 | Susana Ortiz, RDN 1017 Moravia St, Bethlehem, PA 18015-4500 Ph: (610) 730-3056 |
Amanda Blair Stone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 215-262-5490 | |
K.shan Performance Llc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1130 W Broad St Ste 101, Bethlehem, PA 18018 Phone: 484-554-9638 | |
Lori Ahdieh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2855 Schoenersville Rd, Clinical Nutrition, Bethlehem, PA 18017 Phone: 484-884-2964 | |
Mrs. Suzanne Carol Ickes, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Lehighvalley Hospital -clinical Nutrition, Bethlehem, PA 18017 Phone: 484-788-1255 | |
Mrs. Shannon Rose Wacker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 516-806-7758 | |
Mallory Knoll, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2300 Highland Ave, Bethlehem, PA 18020 Phone: 610-861-8080 | |
Amanda Egry, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 484-884-2964 |