Provider Demographics
NPI:1831651561
Name:PEIRISH, RONALD WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:WILLIAM
Last Name:PEIRISH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6770 MAYFIELD RD STE 310
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-312-0788
Mailing Address - Fax:440-312-6885
Practice Address - Street 1:6770 MAYFIELD RD STE 310
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-312-0788
Practice Address - Fax:440-312-6885
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015881207XX0801X, 390200000X
OH58.030630390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma