Provider Demographics
NPI:1386744803
Name:HOBLER, SCOTT CARLSON (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:CARLSON
Last Name:HOBLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 E GALBRAITH RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6705
Mailing Address - Country:US
Mailing Address - Phone:513-686-5392
Mailing Address - Fax:513-686-5394
Practice Address - Street 1:4750 E GALBRAITH RD
Practice Address - Street 2:SUITE 207
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6705
Practice Address - Country:US
Practice Address - Phone:513-686-5392
Practice Address - Fax:513-686-5394
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068752208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2171144Medicaid
OHHO4015866Medicare PIN
OHH12922Medicare UPIN