Individual provider Active NPI

Andrew Stephen Forino, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1154182616
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008600RX Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-3876
NPI assigned
Jan 22, 2024
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008600RX OH Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

8180 Havitshire Way Apt 206
Centerville, OH 45458-6328
Phone (973) 862-0405

Other practice location 1

2400 Miami Valley Dr Ste 280
Centerville, OH 45459-4774
Phone (937) 435-4263

Other practice location 2

9000 N Main St Ste 328
Englewood, OH 45415-1185
Phone (937) 435-4263

Other practice location 3

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 836-6916

Other practice location 4

450 N Hyatt St Ste 302
Tipp City, OH 45371-1433
Phone (937) 435-4263

Other practice location 5

3130 N County Road 25A Ste 116
Troy, OH 45373-1337
Phone (937) 335-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000070 OH Practitioner - Physician Assistant 8628510351 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2400 Miami Valley Dr
Centerville, OH 45459-4774

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

9000 N Main St
Englewood, OH 45415-1185

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince May 12, 2025 Accepting new patients
Uvpc Specialists, Inc. CurrentSince May 12, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince May 12, 2025 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2400 Miami Valley Dr
Ste 280
Centerville, OH 45459
Phone (937) 435-4263

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

9000 N Main St
Ste 328
Englewood, OH 45415
Phone (937) 235-2757

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

450 N Hyatt St
Ste 302
Tipp City, OH 45371
Phone (937) 435-4263

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

3130 N County Road 25A
Ste 116
Troy, OH 45373
Phone (937) 335-3561

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1154182616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 HAVITSHIRE WAY APT 206",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454586328",
            "telephone_number": "973-862-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Miami Valley Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-435-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 328",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151185",
            "country_code": "US",
            "telephone_number": "937-435-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-836-6916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 N Hyatt St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453711433",
            "country_code": "US",
            "telephone_number": "937-435-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A Ste 116",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-335-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORINO",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008600RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.