Provider Demographics
NPI:1659343994
Name:HOUSER, ROBERT SCOTT (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:HOUSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8348
Mailing Address - Country:US
Mailing Address - Phone:614-890-5565
Mailing Address - Fax:614-890-5561
Practice Address - Street 1:41 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8348
Practice Address - Country:US
Practice Address - Phone:614-890-5565
Practice Address - Fax:614-890-5561
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006992208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH87638Medicare UPIN
OHH87638Medicare UPIN