MEDICARE: ROCKY MACHARIA

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	PMH04260026	OH
2	163W00000X	Registered Nurse	APRN.CNP.0042017	OH

General Provider Information

NPI Number	:	1386248722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCKY MACHARIA

Provider Business Mailing Address
First Line	:	4320 CRICKET PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6160
Country	:	US
Telephone Number	:	614-446-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 CRICKET PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6160
Country	:	US
Telephone Number	:	614-446-8176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	05/11/2026

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Directions to “ ROCKY MACHARIA ” Practice Location

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