MEDICARE: JEFFREY A BIRO 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
1	207RR0500X	Rheumatology Physician	34003335	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01185896	OTHER	OH	MEDICARE RR

Other Identifiers

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

General Provider Information

NPI Number	:	1992706410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY A BIRO M.D.

Provider Business Mailing Address
First Line	:	1031 PIERCE ST
Second Line	:	SUITE D
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4669
Country	:	US
Telephone Number	:	419-557-5541
Fax Number	:	419-557-5542

Provider Business Practice Location Address
First Line	:	1605 STATE RT. 60 VINEYARD SQUARE PLAZA #9
Second Line	:
City	:	VERMILION
State	:	OH
Zip	:	44089
Country	:	US
Telephone Number	:	440-967-1128
Fax Number	:	440-967-1172

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	04/23/2014

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Directions to “ JEFFREY A BIRO M.D.” Practice Location

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