Provider Demographics
NPI:1649510603
Name:TSATIRIS, DEENA ALEX (PA-C)
Entity type:Individual
Prefix:
First Name:DEENA
Middle Name:ALEX
Last Name:TSATIRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:ELENIE
Other - Last Name:ALEX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-4586
Mailing Address - Fax:330-543-4407
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-4586
Practice Address - Fax:330-543-4407
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003733363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical