Provider Demographics
NPI:1548225287
Name:ORZO, MICHAEL EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EUGENE
Last Name:ORZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 734439
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-4439
Mailing Address - Country:US
Mailing Address - Phone:317-706-3415
Mailing Address - Fax:616-383-6455
Practice Address - Street 1:6397 EMERALD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-2231
Practice Address - Country:US
Practice Address - Phone:614-777-5700
Practice Address - Fax:614-389-3868
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071478207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2172769Medicare ID - Type Unspecified
H18369Medicare UPIN
4024827Medicare ID - Type Unspecified