MEDICARE: FIONA TISSAVIRASINGHAM MD

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.142134	OH
2	207RP1001X	Pulmonary Disease Physician	35.142134	OH
3	207R00000X	Internal Medicine Physician	35.142134	OH

General Provider Information

NPI Number	:	1649759226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIONA TISSAVIRASINGHAM MD

Provider Business Mailing Address
First Line	:	1900 23RD ST STE 1200
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1404
Country	:	US
Telephone Number	:	330-971-7850
Fax Number	:	330-971-7855

Provider Business Practice Location Address
First Line	:	1900 23RD ST STE 1200
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1404
Country	:	US
Telephone Number	:	330-971-7850
Fax Number	:	330-971-7855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	06/15/2026

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