TAYLOR M ORTIZ (NPI# 1306065446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306065446 |
| Entity Type | Individual |
| Full Name | TAYLOR M ORTIZ |
| Credential | MD |
| Practice Address |
8111 S. Emerson Ave Suite 101 Indianapolis IN 46237-8325 |
| Mailing Address |
8111 S. Emerson Ave Suite 101 Indianapolis IN 46237 |
| Practice Telephone | 3178595252 |
| Practice Fax Number | 3178595258 |
| Mailing Telephone | 3178595252 |
| Mailing Fax Number | 3178595258 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01076200A | IN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
14937 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3076118 | 05 | |
| NH | RR MEDICARE | P00918387 | 01 |
| ME | 1306065446 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1104 E Grace St, Rensselaer, IN 479783211 | 2198665141 | |
| 1701 S Creasy Ln Ste 1w93, Lafayette, IN 479054972 | 7655024015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588415 | Taylor Elyse Ortiz | Behavior Technician | 7909 Cellana Dr, Elk Grove, CA 95757-6244 | 2018-11-28 |
| Street Address |
8111 S. EMERSON AVE SUITE 101 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1558547588 | Sarah Ali | Internal Medicine | 8111 S Emerson Ave Ste 102, Indianapolis, IN 46237-8601 | 2008-01-22 |
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
| 1164567871 | Christopher Alan Slapak | Internal Medicine | The Wishard Hospital Hematology Clinic, 1050 Wishard Blvd, Indianapolis, IN 46202 | 2007-02-20 |
| 1588724199 | Bert H O'neil | Internal Medicine | 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 | 2006-12-12 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on TAYLOR M ORTIZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.