Provider Demographics
NPI:1073533352
Name:ORI, ZSOLT PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:ZSOLT
Middle Name:PETER
Last Name:ORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 W BOBO NEWSOM HWY
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4710
Mailing Address - Country:US
Mailing Address - Phone:843-878-1101
Mailing Address - Fax:843-383-6456
Practice Address - Street 1:1304 W BOBO NEWSOM HWY
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4710
Practice Address - Country:US
Practice Address - Phone:843-878-1101
Practice Address - Fax:843-383-6456
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108911207R00000X
MOMO108911207R00000X
SC39728207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110135441OtherRR MEDICARE
MO208046110Medicaid
MO93748744Medicare ID - Type Unspecified
MO937481878Medicare ID - Type Unspecified
G08078Medicare UPIN