Basic Information
| Provider Information | |||||||||
| NPI: | 1891924056 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ORNAZIAN | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | KATIE | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 108 CETON CT | ||||||||
| Address2: | |||||||||
| City: | BROOMALL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190082524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488669231 | ||||||||
| FaxNumber: | 2488669231 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 N PERRY ST | ||||||||
| Address2: | |||||||||
| City: | PONTIAC | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483422217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483385392 | ||||||||
| FaxNumber: | 2483385567 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2009 | ||||||||
| LastUpdateDate: | 10/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS019511 | PA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 5101018291 | MI | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.