MEDICARE: RICHARD JOSEPH BOBAY ARNP-C

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	363LF0000X	Family Nurse Practitioner	0038390	OH
2	363LF0000X	Family Nurse Practitioner	3005827	KY
3	363LF0000X	Family Nurse Practitioner	71002305A	IN
4	363LF0000X	Family Nurse Practitioner	122635	WV

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	000000593773	OTHER	KY	BCBS

General Provider Information

NPI Number	:	1881732881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD JOSEPH BOBAY ARNP-C

Provider Business Mailing Address
First Line	:	PO BOX 2213
Second Line	:
City	:	CLARKSVILLE
State	:	IN
Zip	:	47131-2213
Country	:	US
Telephone Number	:	812-284-2273
Fax Number	:	812-284-2279

Provider Business Practice Location Address
First Line	:	1701 SPRING ST
Second Line	:	SUITE B
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-2930
Country	:	US
Telephone Number	:	812-284-2273
Fax Number	:	812-284-2279

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	02/23/2026

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