Provider Demographics
NPI:1649384967
Name:KIRTON, ORLANDO C (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:C
Last Name:KIRTON
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 1:1245 HIGHLAND AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3724
Mailing Address - Country:US
Mailing Address - Phone:215-481-7462
Mailing Address - Fax:
Practice Address - Street 1:1245 HIGHLAND AVE STE 302
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3724
Practice Address - Country:US
Practice Address - Phone:215-481-7462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0375682086S0102X
PAMD4587952086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001375682Medicaid
CT001375682Medicaid
CTA67885Medicare UPIN