Provider Demographics
NPI:1326232307
Name:RAUCHENSTEIN, MEGHAN ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANNE
Last Name:RAUCHENSTEIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 E TOWN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4741
Mailing Address - Country:US
Mailing Address - Phone:614-220-5648
Mailing Address - Fax:614-220-5649
Practice Address - Street 1:393 E TOWN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4741
Practice Address - Country:US
Practice Address - Phone:614-220-5648
Practice Address - Fax:614-220-5649
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002679363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1079722OtherNCCPA
OH451657OtherWELLCARE
OH000000541151OtherANTHEM
OH000000541151OtherANTHEM