ROXANNE DEMAREST PA-C NPI 1619337771

NPI Information

NPI: 1619337771
Provider Name: ROXANNE DEMAREST, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
380 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215
Phone: (614) 355-6380
Get Directions

Roxanne Demarest, PA-C is a medical physician assistant in Columbus, OH. Roxanne Demarest, PA-C NPI is 1619337771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

380 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215-508
Phone: (614) 355-6380
Fax: (614) 355-7588

The enumeration date for this NPI number is 3/2/2016 and was last updated on 3/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		50.004638RX	OHIO	No
2	363AM0700X	Physician Assistant	Medical	50.004638RX	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2846675	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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