Healthcare Provider Details

I. General information

NPI: 1922036854
Provider Name (Legal Business Name): ROBERT SCOTT RANKIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: R. SCOTT RANKIN DO

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 EISENHOWER DR
HANOVER PA
17331-5248
US

IV. Provider business mailing address

1861 POWDER MILL ROAD ATTN MEDICAL STAFF OFFICE
YORK PA
17402-4723
US

V. Phone/Fax

Practice location:
  • Phone: 717-633-0031
  • Fax:
Mailing address:
  • Phone: 717-718-2041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS006692E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberOS006692E
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS006692E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: