Amy R Ordiway (NPI# 1124165824, PAC ID# 2365497880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124165824 |
| PAC ID by PECOS | 2365497880 |
| Professional Enrollment ID | I20050317000703 |
| Full Name | Amy R Ordiway |
| Organization Legal Name | GREAT LAKES OTOLARYNGOLOGY, PC |
| Address |
10 Timberview Ln Russell PA 16345-4150 |
| Phone Number | 8147575819 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466487350 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390146 | WARREN GENERAL HOSPITAL |
| 390104 | KANE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 Timberview Ln, Russell, PA 16345-4150 | 8147575819 | GREAT LAKES OTOLARYNGOLOGY, PC |
| 808 Pennsylvania Ave W, Suite A, Warren, PA 16365-1882 | 7163727205 | GREAT LAKES OTOLARYNGOLOGY, PC |
| Organization Legal Name | GREAT LAKES OTOLARYNGOLOGY, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Daniels | Nurse Practitioner | Great Lakes Otolaryngology, PC | 2223 W State St, Suite 102, Olean, NY 14760-1938 |
| David B Smalling | Physician Assistant | Great Lakes Otolaryngology, PC | 2223 W State St, Suite 102, Olean, NY 14760-1938 |
| Daniel C Lai | Otolaryngology | Great Lakes Otolaryngology, PC | 515 Main St, Olean, NY 14760-1513 |
| Connie J Tonger | Nurse Practitioner | Great Lakes Otolaryngology, PC | 2223 W State St, Suite 102, Olean, NY 14760-1938 |
| Brenda Sue Chadwick | Nurse Practitioner | Great Lakes Otolaryngology, PC | 2223 W State St, Olean, NY 14760-1938 |
| Kathleen M Kerr | Physician Assistant | Great Lakes Otolaryngology, PC | 2223 W State St, Suite 102, Olean, NY 14760-1938 |
| Street Address |
10 TIMBERVIEW LN |
| City | RUSSELL |
| State | PA |
| Zip | 16345-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi Simpson | Physician Assistant | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Nancy E Oday | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesiology PC | 10 Timberview Ln, Russell, PA 16345-4150 |
| Regan N Olsen | Nurse Practitioner | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Simon Levi Amsdell | Orthopedic Surgery | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Trevor Olsen | Urology | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Charles Varner | Physician Assistant | Family Medicine of Warren Pa PC | 1 Timberview Lane, Russell, PA 16345 |
| Pamela J English | Registered Dietitian Or Nutrition Professional | 716 S Main St, Russell, PA 16345-1154 | |
| John H Susz | Podiatry | John H Susz Dpm, PC | 1 Timberview Ln, Russell, PA 16345-4149 |
| Taylor L Hoff | Podiatry | John H Susz Dpm, PC | 1 Timberview Ln, Russell, PA 16345-4149 |
| City | RUSSELL |
| Zip Code | 16345 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RUSSELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy R Ordiway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.