Basic Information
Provider Information
NPI: 1982113023
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROHRBAUGH
FirstName: SCOTT
MiddleName: CHRISTIAN
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5982 RHODES RD.
Address2:  
City: KENT
State: OH
PostalCode: 44240
CountryCode: US
TelephoneNumber: 3306731347
FaxNumber:  
Practice Location
Address1: 5982 RHODES RD.
Address2:  
City: KENT
State: OH
PostalCode: 442408100
CountryCode: US
TelephoneNumber: 3306731347
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2017
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN.CNP.021743OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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