Provider Demographics
NPI:1942307483
Name:ATASSI, FIRAS S (MD)
Entity type:Individual
Prefix:
First Name:FIRAS
Middle Name:S
Last Name:ATASSI
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 1:34500 CENTER RIDGE RD
Mailing Address - Street 2:FIRAS ATASSI MD
Mailing Address - City:N RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039
Mailing Address - Country:US
Mailing Address - Phone:440-327-2414
Mailing Address - Fax:
Practice Address - Street 1:34500 CENTER RIDGE RD
Practice Address - Street 2:FIRAS ATASSI MD
Practice Address - City:N RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039
Practice Address - Country:US
Practice Address - Phone:440-327-2414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH39051208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0426597Medicaid
AT0478252Medicare ID - Type Unspecified
OH0426597Medicaid