Healthcare Provider Details

I. General information

NPI: 1326000472
Provider Name (Legal Business Name): SCOTT BAGENSTOSE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 N HAMILTON RD
COLUMBUS OH
43230-1324
US

IV. Provider business mailing address

1810 MACKENZIE DR FL 2
COLUMBUS OH
43220-2967
US

V. Phone/Fax

Practice location:
  • Phone: 614-933-0312
  • Fax: 614-933-8903
Mailing address:
  • Phone: 614-273-2250
  • Fax: 614-273-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35081229B
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: