Basic Information
| Provider Information | |||||||||
| NPI: | 1609845197 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ORLANDI | ||||||||
| FirstName: | MARC | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 RAYNOLDS ST # 51015 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799051613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152154480 | ||||||||
| FaxNumber: | 9152155386 | ||||||||
| Practice Location | |||||||||
| Address1: | 4845 ALAMEDA AVE | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799052705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152155666 | ||||||||
| FaxNumber: | 9152155047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 10/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 35064121 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 350641210 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | L8871 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 43458262 | 05 | NM | MEDICAID | 177109905 | 05 | TX | MEDICAID | 8P1276 | 01 | TX | BCBS | OTHER | 177109904 | 05 | TX | MEDICAID | 8CE392 | 01 | TX | BCBS | OTHER | 2151951 | 05 | OH | MEDICAID |