JESUS ORTEGA, M.D., P.L.L.C. (NPI# 1154502243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154502243 |
Entity Type | Organization |
Organization Name | JESUS ORTEGA, M.D., P.L.L.C. |
Practice Address |
6760 Allen Rd Suite 106 Allen Park MI 48101-2078 |
Practice Telephone | 3133815522 |
Practice Fax Number | 3133812666 |
Mailing Telephone | 3133815522 |
Mailing Fax Number | 3133812666 |
Enumeration Date | 2007-11-17 |
Last Update Date | 2007-11-17 |
Authorized Official Name | DR. JESUS ORTEGA (OWNER) |
Authorized Official Telephone | 3133815522 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
JO4301031455 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CARE NETWORK | 0822641 | 01 |
MI | OAKWOOD MANAGED CARE | S19233 | 01 |
MI | WELLNESS PLAN | 1130860001 | 01 |
MI | RAILROAD MEDICARE | P00124985 | 01 |
MI | INDIVIDUAL NPI | 1457331704 | 01 |
MI | BCBS OF MICHIGAN | 110822641-1 | 01 |
Street Address |
6760 ALLEN RD SUITE 106 |
City | ALLEN PARK |
State | MI |
Zip Code | 48101-2078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457331704 | Jesus Ortega | Internal Medicine | 6760 Allen Rd, Suite 106, Allen Park, MI 48101-2078 | 2006-01-20 |
1679926869 | Makayla Dawn Reid | Dentist | 6760 Allen Rd, #101, Allen Park, MI 48101-2078 | 2016-07-22 |
1902284375 | Allen Park Family Dental Center, PC | Dentist | 6760 Allen Rd, Suite 201, Allen Park, MI 48101-2078 | 2015-05-18 |
1972662237 | Vincent P Lizzio | Dentist | 6760 Allen Rd, Ste 101, Allen Park, MI 48101 | 2006-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
Find all providers in zip 48101 |
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 |
---|---|---|---|---|
1457331704 | Jesus Ortega | Internal Medicine | 6760 Allen Rd, Suite 106, Allen Park, MI 48101-2078 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
Find all providers with the same taxonomy |
City | ALLEN PARK |
Zip Code | 48101 |
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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.