Provider Demographics
NPI:1285714428
Name:ORNSTEIN, DAVID K (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID K
Middle Name:
Last Name:ORNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:733 4TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5731
Practice Address - Country:US
Practice Address - Phone:239-403-9503
Practice Address - Fax:239-403-9756
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1406208800000X
FLME104879208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001253400Medicaid
FL6111651OtherCIGNA
FL1193418OtherWELLCARE
FL613360149OtherDEPARTMENT OF ENERGY
FL344443OtherAVMED
FL344443OtherAVMED
FLH16410Medicare UPIN
CAWG86897AMedicare PIN