1548303530 NPI number — SCOTT RIOCH, D.O., INC.

Table of content: (NPI 1548303530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548303530 NPI number — SCOTT RIOCH, D.O., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCOTT RIOCH, D.O., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548303530
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1733 WESTERN AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
FINDLAY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45840-1346
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-423-2754
Provider Business Mailing Address Fax Number:
419-423-7357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1733 WESTERN AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
FINDLAY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45840-1346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-423-2754
Provider Business Practice Location Address Fax Number:
419-423-7357
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RIOCH
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
419-423-2754

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  34-00-7077-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X , with the licence number: 34-00-7361-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2332809 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com