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NPI Code Detail

MEDICARE: DR. HEATH A DORION M.D.

MEDICARE: DR. HEATH A DORION M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician76347OH
22086S0102XSurgical Critical Care Physician35.076347OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H149600OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134115900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATH A DORION M.D.
Provider Business Mailing Address
First Line : 1001 COVINGTON ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44510-1617
Country : US
Telephone Number : 330-480-2371
Fax Number : 330-480-3970
Provider Business Practice Location Address
First Line : 1001 COVINGTON ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44510-1617
Country : US
Telephone Number : 330-480-2371
Fax Number : 330-480-3970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 02/21/2020

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Directions to “ DR. HEATH A DORION M.D.” Practice Location

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