Provider Demographics
NPI:1083728638
Name:ROMP, KATHERINE HAY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:HAY
Last Name:ROMP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:EILEEN
Other - Last Name:HAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5308 HARROUN RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2190
Mailing Address - Country:US
Mailing Address - Phone:419-885-6919
Mailing Address - Fax:
Practice Address - Street 1:5308 HARROUN RD STE 280
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2190
Practice Address - Country:US
Practice Address - Phone:419-524-5668
Practice Address - Fax:419-885-6919
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071140Medicaid
OH0071140Medicaid