Healthcare Provider Details

I. General information

NPI: 1700800463
Provider Name (Legal Business Name): PATRICIA ROBITAILLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 SAWMILL PKWY SUITE 300
POWELL OH
43065-7790
US

IV. Provider business mailing address

575 COPELAND MILL RD SUITE 1D
WESTERVILLE OH
43081-8977
US

V. Phone/Fax

Practice location:
  • Phone: 614-923-9200
  • Fax: 614-794-3711
Mailing address:
  • Phone: 614-794-0481
  • Fax: 614-794-3711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35063314-R
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: