=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841470119
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. WILLIAM S. DIORIO, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2007
-----------------------------------------------------
Last Update Date | 04/30/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2894 CENTER RD
-----------------------------------------------------
City | POLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44514-2154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-757-9444
-----------------------------------------------------
Fax | 330-757-9410
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2894 CENTER RD
-----------------------------------------------------
City | POLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44514-2154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-757-9444
-----------------------------------------------------
Fax | 330-757-9410
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PODIATRIST
-----------------------------------------------------
Name | DR. WILLIAM S DIORIO
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 330-757-9444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 36001480D
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------