MEDICARE: DR. ROBERT W RICE MD

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	208800000X	Urology Physician	35046708	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	02564	OTHER	OH	PARAMOUNT
3	920613	OTHER	OH	AETNA
4	000000131160	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1760488753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT W RICE MD

Provider Business Mailing Address
First Line	:	2800 HAYES AVE
Second Line	:	BLDG D
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7252
Country	:	US
Telephone Number	:	419-627-8771
Fax Number	:	419-627-0363

Provider Business Practice Location Address
First Line	:	2800 HAYES AVE
Second Line	:	BLDG D
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7252
Country	:	US
Telephone Number	:	419-627-8771
Fax Number	:	419-627-0363

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	11/12/2007

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