Individual
DR. ANDY ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7482 CENTER ST UNIT 100, MENTOR, OH 44060
(440) 357-8418
(440) 255-9400
Mailing address
7482 CENTER ST UNIT 100, MENTOR, OH 44060-5847
(440) 357-8418
(440) 255-9400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003885
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030260
—
OH
Enumeration date
06/08/2015
Last updated
08/17/2018
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