MEDICARE: ROBYN EVERHART

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1831056563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN EVERHART

Provider Business Mailing Address
First Line	:	310 S FRONT ST STE 4
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-3086
Country	:	US
Telephone Number	:	419-552-1254
Fax Number	:	567-201-2156

Provider Business Practice Location Address
First Line	:	310 S FRONT ST STE 4
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-3086
Country	:	US
Telephone Number	:	419-552-1254
Fax Number	:	567-201-2156

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ROBYN EVERHART ” Practice Location

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