MEDICARE: KORINNA DILLON

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	363A00000X	Physician Assistant	50.008802RX	OH
2	390200000X	Student in an Organized Health Care Education/Training Program	RN	OH

General Provider Information

NPI Number	:	1831961390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORINNA DILLON

Provider Business Mailing Address
First Line	:	830 W HIGH ST STE 390
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-3988
Country	:	US
Telephone Number	:	419-227-7117
Fax Number	:	419-227-2848

Provider Business Practice Location Address
First Line	:	830 W HIGH ST STE 390
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-3988
Country	:	US
Telephone Number	:	419-227-7117
Fax Number	:	419-227-2848

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

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	06/07/2026

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1144885625 — DR. MATTHEW ROBERT FLAHERTY MD
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1871334870 — MORGAN WORTHINGTON
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1356344238 — MRS. HEATHER M PISLE C.N.M.
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Directions to “ KORINNA DILLON ” Practice Location

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