Basic Information
| Provider Information | |||||||||
| NPI: | 1225356710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROMP | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2751 BAY PARK DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | OREGON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436164921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196908811 | ||||||||
| FaxNumber: | 4196976750 | ||||||||
| Practice Location | |||||||||
| Address1: | 2751 BAY PARK DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | OREGON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436164921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196908811 | ||||||||
| FaxNumber: | 4196976750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2010 | ||||||||
| LastUpdateDate: | 06/04/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | 50-003051 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.