Provider Demographics
NPI:1306833389
Name:PIROZZI, PHILOMENA D (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILOMENA
Middle Name:D
Last Name:PIROZZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1538
Mailing Address - Country:US
Mailing Address - Phone:330-666-3400
Mailing Address - Fax:330-665-5133
Practice Address - Street 1:3535 GRANGER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-1538
Practice Address - Country:US
Practice Address - Phone:330-666-3400
Practice Address - Fax:330-665-5133
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048733207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0675210Medicaid
OH412OtherSUMMA
OH000000028652OtherANTHEM
OH000000028652OtherANTHEM
OHA15622Medicare UPIN
OH0675210Medicaid