Provider Demographics
NPI:1942385026
Name:SCIOTO FAMILY PHYSICIANS, INC
Entity Type:Organization
Organization Name:SCIOTO FAMILY PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-734-1100
Mailing Address - Street 1:5130 BRADENTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7068
Mailing Address - Country:US
Mailing Address - Phone:614-734-1100
Mailing Address - Fax:614-734-1900
Practice Address - Street 1:5130 BRADENTON AVE STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7068
Practice Address - Country:US
Practice Address - Phone:614-734-1100
Practice Address - Fax:614-734-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2267685Medicaid
OH9314231Medicare ID - Type Unspecified