Healthcare Provider Details

I. General information

NPI: 1902899180
Provider Name (Legal Business Name): DANA SCHALTZ LAROCHELLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7675 WELLNESS WAY
WEST CHESTER OH
45069-2509
US

IV. Provider business mailing address

5500 N MEADOWS DR STE 3800
GROVE CITY OH
43123-7687
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8248
  • Fax: 513-475-7179
Mailing address:
  • Phone: 614-663-3888
  • Fax: 614-663-3890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-069767
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35069767L
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: