Provider Demographics
NPI:1811961006
Name:FIORINI, WILLIAM D (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:FIORINI
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 1:14210 SCOTTSLAWN RD.
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43041-0001
Mailing Address - Country:US
Mailing Address - Phone:614-292-0110
Mailing Address - Fax:614-247-6074
Practice Address - Street 1:14210 SCOTTSLAWN RD.
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43041-0001
Practice Address - Country:US
Practice Address - Phone:937-578-5555
Practice Address - Fax:937-578-5870
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-047010171W00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0050489Medicaid
OHFI0505135Medicare ID - Type Unspecified
OH0050489Medicaid