| Ronaldo Enrique Ortiz-pacheco, MD | |
|
90 Presidential Plaza, Syracuse, NY 13202 | |
| (315) 464-3835 | |
| Not Available |
| Full Name | Ronaldo Enrique Ortiz-pacheco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 90 Presidential Plaza, Syracuse, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578965323 | NPI | - | NPPES |
| 4988049 | Other | PR | GOVERNMENT ISSUE |
| 567181820 | Other | NY | GOVERNMENT ISSUE |
| VM681079 | Other | OH | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 326308 (New York) | Primary |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Upstate Community Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronaldo Enrique Ortiz-pacheco, MD 90 Presidential Plaza, Syracuse, NY 13202 Ph: (315) 464-3835 | Ronaldo Enrique Ortiz-pacheco, MD 90 Presidential Plaza, Syracuse, NY 13202 Ph: (315) 464-3835 |
Courtney Myers, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815 | |
Joan Marie Mitchell, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827 | |
Saverio J. Barbera, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 | |
Gordana Obradovic, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 | |
Kristin A Ramella, NP Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 | |
Vinodhini M Subramanian, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Robert R. Michiel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |