Healthcare Provider Details

I. General information

NPI: 1861310591
Provider Name (Legal Business Name): ROGER ESTEP CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 RINGS RD
DUBLIN OH
43017-7537
US

IV. Provider business mailing address

791 PIKETON RD
LUCASVILLE OH
45648-8736
US

V. Phone/Fax

Practice location:
  • Phone: 614-457-6590
  • Fax:
Mailing address:
  • Phone: 740-947-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042656
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: