MEDICARE: ROBERT C PENCE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35082151	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255336814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C PENCE MD

Provider Business Mailing Address
First Line	:	3000 HOSPITAL DR
Second Line	:	STE. 130
City	:	BATAVIA
State	:	OH
Zip	:	45103-1921
Country	:	US
Telephone Number	:	513-735-8924
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 HOSPITAL DR
Second Line	:	STE. 130
City	:	BATAVIA
State	:	OH
Zip	:	45103-1921
Country	:	US
Telephone Number	:	513-735-8924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/03/2014

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Directions to “ ROBERT C PENCE MD” Practice Location

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