Provider Demographics
NPI:1629018700
Name:FERRINI, VICTOR FRANK (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
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 1:30 MESSIMER DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1842
Mailing Address - Country:US
Mailing Address - Phone:220-564-1880
Mailing Address - Fax:220-564-1881
Practice Address - Street 1:30 MESSIMER DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1842
Practice Address - Country:US
Practice Address - Phone:220-564-1880
Practice Address - Fax:220-564-1881
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079295 F208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2249632Medicaid
OH2249632Medicaid
OH2249632Medicaid