Mr. Omar A Ortega
Physician Assistant (Medical)

Address: 5665 Peachtree Dunwoody Rd, Critical Care Department, Atlanta, GA 30342-1764
Phone: 6788437001

Mr. Omar A Ortega (NPI# 1285063727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1285063727
Entity Type Individual
Full Name Mr. Omar A Ortega
Credential PA-C
Gender Male
Practice Address 5665 Peachtree Dunwoody Rd
Critical Care Department
Atlanta
GA 30342-1764
Practice Telephone 6788437001
Mailing Address 3105 Bywater Trl
Roswell
GA 30075-6703
Mailing Telephone 7863621954
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-11-05
Last Update Date 2013-11-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 6996 GA

Other Providers OMAR ORTEGA

NPI Name Taxonomy Address Enumeration
1710120217 Omar O Ortega Radiologic Technologist 3 Calle Betances, Edificio Rossy, Ciales, PR 00638-3200 2009-04-13

Physician Overview

NPI 1285063727
PAC ID by PECOS 3678704640
Professional Enrollment ID I20140317000975
Full Name Omar Ortega
Organization Legal Name EMORY CLINIC INC
Phone Number 4047787525
Gender M
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8820901408
Number of Group Practice Members 2051
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110082 SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC

Office Location

Street Address 5665 PEACHTREE DUNWOODY RD
CRITICAL CARE DEPARTMENT
City ATLANTA
State GA
Zip Code 30342-1764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568935492 Omolara Sarah Adamson Nurse Practitioner 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2019-01-03
1922576586 Abbey Holley Meyer Registered Nurse 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-11-12
1679058861 Jenny Dunn Mathis Pharmacist 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-10-03
1477031375 Branden Orta Anesthesiologist Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-08-02
1568958973 Eric Lichtfuss Jr. Anesthesiologist Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-07-09
1972098036 Ashley Maloney Anesthesiologist Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-06-29
1093209199 Sarah Marie Spence Nurse Practitioner 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-06-21
1184115453 Leah Faye Matalon Anesthesiologist Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-05-22
1770087785 Brittany Szabo Physician Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2018-03-23
1356856082 Patrick Wayne Hickey Nurse Practitioner 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2017-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
1285104232 Paragon Infusion Care, Inc Home Infusion 5775 Peachtree Dunwoody Rd., Bldg. D, Ste 100, Atlanta, GA 30342 2018-12-03
1558847053 Alexandria Faye Nicole Mcneill Physician Assistant 5667 Peachtree Dunwoody Rd Ste 330, Atlanta, GA 30342 2018-07-17
1144713272 Shelby Taylor Ward Physician Assistant 5671 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342 2018-06-13
1053803387 Samantha Marie Kanuck Physician Assistant 960 Johnson Fy Rd Ne Ste 200, Atlanta, GA 30342 2018-06-01
1376035949 Pats Home Care LLC Home Health 8208 Ivy Chase Way Ne Ste 8208, Atlanta, GA 30342 2018-05-30
1295226942 Erin Elizabeth Gowen Audiologist 5461 Meridian Mark Rd, Suite 130, Atlanta, GA 30342 2018-05-29
1669972527 Leslie Gorrell Nurse Practitioner 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342 2018-02-17
1497265904 Stephanie Edlhuber Nurse Practitioner 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342 2017-10-10
1396274007 Katherine Gudger Physician Assistant 5461 Meridian Marks Rd Ste 570, Atlanta, GA 30342 2017-06-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417422916 Alison Miller Physician Assistant 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 2018-10-10
1588139414 Tammy May Luu Physician Assistant 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 2018-10-08
1104323476 Cody Weldon Howell Physician Assistant 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 2018-04-12
1659895373 Sudhisha Kumari Jala Physician Assistant 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 2017-08-03
1487178893 Magdalena Kertscher Physician Assistant 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 2017-07-27
1740701366 Emily Anna Brown Didrick Physician Assistant 3131 Maple Dr Ne Ste 102, Atlanta, GA 30305-2515 2017-07-05
1730623802 Catherine Fenner Physician Assistant 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 2016-12-08
1649626938 Alex Phillip Schultz Physician Assistant 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 2016-05-05
1750771390 Kory Lowe Physician Assistant 285 Boulevard Ne Ste 345, Atlanta, GA 30312 2015-02-04
1437549698 Bibi Jennifer Haniff Physician Assistant 5730 Glendridge Dr Ne, 230, Atlanta, GA 30328 2015-01-27
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Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

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.

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