Dr Kenneth John Ortiz, MD | |
620 John Paul Jones Cir, Nmcp- Plastic Surgery, Portsmouth, VA 23708-2111 | |
(757) 952-2883 | |
(757) 953-0851 |
Full Name | Dr Kenneth John Ortiz |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942377924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 046706 (Georgia) | Secondary |
208200000X | Plastic Surgery | 0101266620 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth John Ortiz, MD 508 Piping Rock Dr, Chesapeake, VA 23322-8894 Ph: (757) 953-2883 | Dr Kenneth John Ortiz, MD 620 John Paul Jones Cir, Nmcp- Plastic Surgery, Portsmouth, VA 23708-2111 Ph: (757) 952-2883 |
Dr. Mark Pieter Honig, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: Naval Medical Center, Portsmouth, 3 Effingham Street, Portsmouth, VA 23708 Phone: 757-953-2883 | |
Dr. Robert Eugene Hersh, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 Fax: 757-953-0851 |