Provider Demographics
NPI:1659577864
Name:ROUSE SCHARSCHMIDT, ANGELA GAYLE (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:GAYLE
Last Name:ROUSE SCHARSCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:GAYLE
Other - Last Name:ROUSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:477 COOPER RD STE 320
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-6045
Mailing Address - Country:US
Mailing Address - Phone:380-201-3390
Mailing Address - Fax:380-201-3391
Practice Address - Street 1:477 COOPER RD STE 320
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-6045
Practice Address - Country:US
Practice Address - Phone:380-201-3390
Practice Address - Fax:380-201-3391
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089972207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2760203Medicaid
OH2760203Medicaid