MEDICARE: SCOTT R DAY PA-C

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	363A00000X	Physician Assistant	50.004652RX	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

General Provider Information

NPI Number	:	1720010614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT R DAY PA-C

Provider Business Mailing Address
First Line	:	840 NW WASHINGTON BLVD
Second Line	:	STE A
City	:	HAMILTON
State	:	OH
Zip	:	45013-6381
Country	:	US
Telephone Number	:	215-662-3340
Fax Number	:	215-222-8875

Provider Business Practice Location Address
First Line	:	840 NW WASHINGTON BLVD
Second Line	:	STE A
City	:	HAMILTON
State	:	OH
Zip	:	45013-6381
Country	:	US
Telephone Number	:	215-662-3340
Fax Number	:	215-222-8875

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/03/2020

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