Basic Information
| Provider Information | |||||||||
| NPI: | 1760671036 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FERIOLI | ||||||||
| FirstName: | SIMONA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 636256 | ||||||||
| Address2: | CENTRAL CREDENTIALING | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452636256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135855504 | ||||||||
| FaxNumber: | 5135855511 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 PIEDMONT AVE | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452194231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134758730 | ||||||||
| FaxNumber: | 5134758033 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2007 | ||||||||
| LastUpdateDate: | 08/24/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57012908 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 35.097383 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 2084N0400X | 35.097383 | OH | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 390200000X | 35097383 | OH | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084A2900X | 35097383 | OH | Y |
No ID Information.