DR. KELLEY ELAINE HEAL-ORTIZ (NPI# 1619917135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619917135 |
| Entity Type | Individual |
| Full Name | DR. KELLEY ELAINE HEAL-ORTIZ |
| Credential | D.D.S. |
| Practice Address |
432 W Main St Clarksburg WV 26301-2817 |
| Practice Telephone | 3046229837 |
| Practice Fax Number | 3046231754 |
| Mailing Telephone | 3046229837 |
| Mailing Fax Number | 3046231754 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WV3030 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | UNITED CONCORDIA | 781440 | 01 |
| WV | 0133029000 | 05 |
| Street Address |
432 W MAIN ST |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750457818 | Drs. Ortiz and Heal-ortiz, Inc. | Dentist | 432 W Main St, Clarksburg, WV 26301-2817 | 2006-11-28 |
| 1174567671 | Mark Gregory Ortiz | Dentist | 432 W Main St, Clarksburg, WV 26301-2817 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831629161 | Tyler Patrick Brown | Dentist | 2017 E Pike St, Clarksburg, WV 26301-6013 | 2017-06-19 |
| 1598147480 | Amy Linn Governor | Dentist | 250 Emily Dr, Clarksburg, WV 26301-5500 | 2015-06-26 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1083803498 | Stephen Boyd Broughton | Dentist | 117 1/2 Nicholas St, Clarksburg, WV 26301 | 2007-10-22 |
| 1972622496 | Jerry N Falk | Dentist | 15 Carrs Tavern Rd, Clarksburg, NJ 08510-1505 | 2007-03-28 |
| 1265501142 | Thomas Edward Condron | Dentist | 234 Court St, Clarksburg, WV 26301 | 2006-11-07 |
| 1851485668 | John Matthew Williams | Dentist | 23401 Frederick Rd, Clarksburg, MD 20871-9705 | 2006-10-03 |
| 1891895330 | Michael Anthony Hazey II | Dentist | 720 E Pike St, Clarksburg, WV 26301-2240 | 2006-09-24 |
| 1326143207 | Frank William Angotti | Dentist | 604 Rosebud Plaza, Clarksburg, WV 26301 | 2006-09-14 |
| 1255336095 | Gerard Anthony Veltri | Dentist | 222 Court St, Clarksburg, WV 26301-2906 | 2005-06-17 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on DR. KELLEY ELAINE HEAL-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.