Provider Demographics
NPI:1497963169
Name:ANN E ORNDORFF, C.N.M
Entity Type:Organization
Organization Name:ANN E ORNDORFF, C.N.M
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-214-3003
Mailing Address - Street 1:455 S WASHINGTON ST STE 25
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2516
Mailing Address - Country:US
Mailing Address - Phone:717-334-0045
Mailing Address - Fax:717-334-2226
Practice Address - Street 1:455 S WASHINGTON ST STE 25
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2516
Practice Address - Country:US
Practice Address - Phone:717-334-0045
Practice Address - Fax:717-334-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008216L176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAR07165Medicare UPIN