Healthcare Provider Details

I. General information

NPI: 1831651561
Provider Name (Legal Business Name): RONALD WILLIAM PEIRISH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 MAYFIELD RD STE 310
MAYFIELD HEIGHTS OH
44124-2299
US

IV. Provider business mailing address

6770 MAYFIELD RD STE 310
MAYFIELD HEIGHTS OH
44124-2299
US

V. Phone/Fax

Practice location:
  • Phone: 440-312-0788
  • Fax: 440-312-6885
Mailing address:
  • Phone: 440-312-0788
  • Fax: 440-312-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number34.015881
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: