Provider Demographics
NPI:1144651555
Name:ORNDOFF PODIATRY, P.C.
Entity type:Organization
Organization Name:ORNDOFF PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORNDOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-331-0282
Mailing Address - Street 1:879 HIDDEN VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-4874
Mailing Address - Country:US
Mailing Address - Phone:724-331-0280
Mailing Address - Fax:
Practice Address - Street 1:111 STRATFORD CT
Practice Address - Street 2:
Practice Address - City:NEW STANTON
Practice Address - State:PA
Practice Address - Zip Code:15672-9476
Practice Address - Country:US
Practice Address - Phone:412-372-1234
Practice Address - Fax:412-372-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004795L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA329397Medicare PIN