Provider Demographics
NPI:1619947272
Name:RIOCH, SCOTT A (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:RIOCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1733 WESTERN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1346
Mailing Address - Country:US
Mailing Address - Phone:419-423-2754
Mailing Address - Fax:419-423-7357
Practice Address - Street 1:1733 WESTERN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1346
Practice Address - Country:US
Practice Address - Phone:419-423-2754
Practice Address - Fax:419-423-7387
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34-00-7077-R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2207025Medicaid
OH2207025Medicaid
OH0890558Medicare PIN