Provider Demographics
NPI:1154344703
Name:DEMIO, PHILLIP CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:CHRISTOPHER
Last Name:DEMIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ORCHARDVIEW RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131
Mailing Address - Country:US
Mailing Address - Phone:216-901-0441
Mailing Address - Fax:216-901-0485
Practice Address - Street 1:320 ORCHARDVIEW RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:216-901-0441
Practice Address - Fax:216-901-0485
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71198146D00000X
OH35054874207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
E33904Medicare UPIN