MARIO REMEDIOS ORTIZ (NPI# 1265826226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265826226 |
| Entity Type | Individual |
| Full Name | MARIO REMEDIOS ORTIZ |
| Credential | PHD; PHCNS-BC, FNP-C |
| Practice Address |
1700 Mishawaka Ave # Sac-130 Health & Wellness Center, Iu South Bend South Bend IN 46615-1408 |
| Practice Telephone | 5745205557 |
| Practice Fax Number | 5745205042 |
| Mailing Telephone | 5745205557 |
| Mailing Fax Number | 5745205042 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005395A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
71005395A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435171 | Mario Ortiz | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| 1457766453 | Mario Ortiz | Marriage & Family Therapist | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2014-06-27 |
| Street Address |
1700 MISHAWAKA AVE # SAC-130 HEALTH & WELLNESS CENTER, IU SOUTH BEND |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 364SC1501X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Community Health/Public Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336551175 | Mary Ann Wietbrock | Clinical Nurse Specialist | 4108 W 400 S, New Palestine, IN 46163-9612 | 2014-05-28 |
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on MARIO REMEDIOS 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.