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NPI Code Detail

MEDICARE: MARIAH ROSSI PA

MEDICARE: MARIAH ROSSI PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.006132RXOH

General Provider Information

NPI Number : 1043869605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH ROSSI PA
Provider Business Mailing Address
First Line : 3525 OLENTANGY RIVER RD STE 4330
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 614-255-6900
Fax Number :
Provider Business Practice Location Address
First Line : 3525 OLENTANGY RIVER RD STE 4330
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 614-255-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2019
Last Update Date : 01/23/2026

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Directions to “ MARIAH ROSSI PA” Practice Location

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