| Derek Allen Ornelas, MD | |
|
107 Royal Birkdale Dr Ste D, Columbiana, OH 44408-8493 | |
| (330) 482-0937 | |
| (330) 482-0941 |
| Full Name | Derek Allen Ornelas |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 107 Royal Birkdale Dr Ste D, Columbiana, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326302662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301101170 (Michigan) | Secondary |
| 208600000X | Surgery | 35.131679 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Salem Regional Medical Center | Salem, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 470 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Allen Ornelas, MD 107 Royal Birkdale Dr Ste D, Columbiana, OH 44408-8493 Ph: (330) 482-0937 | Derek Allen Ornelas, MD 107 Royal Birkdale Dr Ste D, Columbiana, OH 44408-8493 Ph: (330) 482-0937 |
Mrs. Linda A Camp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Town Center Ave Ste 100, Columbiana, OH 44408 Phone: 330-332-7383 Fax: 330-337-9298 |