Provider Demographics
NPI:1356847610
Name:HILL, ALEXIS SIERRA (DO)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:SIERRA
Last Name:HILL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38506 SALTWELL RD
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432-9326
Mailing Address - Country:US
Mailing Address - Phone:330-424-1404
Mailing Address - Fax:330-424-1811
Practice Address - Street 1:38506 SALTWELL RD
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432-9326
Practice Address - Country:US
Practice Address - Phone:330-424-1404
Practice Address - Fax:330-424-1811
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34-015179207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program