Provider Demographics
NPI:1043901754
Name:ORDOS, KATHERINE MARGARET (PA-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARGARET
Last Name:ORDOS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E 2ND ST STE 401
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1577
Mailing Address - Country:US
Mailing Address - Phone:814-877-7310
Mailing Address - Fax:814-877-7320
Practice Address - Street 1:120 E 2ND ST STE 401
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1577
Practice Address - Country:US
Practice Address - Phone:814-877-7310
Practice Address - Fax:814-877-7320
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA064685363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant