Provider Demographics
NPI:1588608269
Name:FERRINI, VINCENT FRANK (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:FRANK
Last Name:FERRINI
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 1:600 SUPERIOR AVENUE EAST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2691
Mailing Address - Country:US
Mailing Address - Phone:216-443-0430
Mailing Address - Fax:
Practice Address - Street 1:600 SUPERIOR AVENUE EAST
Practice Address - Street 2:SUITE 2400
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2691
Practice Address - Country:US
Practice Address - Phone:216-443-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069376207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4840115Medicaid
OH2009123Medicaid
TN3001058Medicare PIN
MIP40750003Medicare PIN
FE0821515Medicare ID - Type Unspecified