Provider Demographics
NPI:1841282969
Name:BARKIN, SCOTT D (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:BARKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 TECH CENTER DR STE 250
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1987
Mailing Address - Country:US
Mailing Address - Phone:614-396-2684
Mailing Address - Fax:614-396-2480
Practice Address - Street 1:701 TECH CENTER DR
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1987
Practice Address - Country:US
Practice Address - Phone:614-396-2684
Practice Address - Fax:614-396-2480
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4995208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000007791OtherANTHEM BCBS
OH0799159Medicaid
OH340008832OtherRAILROAD MEDICARE PALMETT
OH4133388OtherAETNA
OH2363599OtherCIGNA
OH310884319032OtherCARESOURCE
OH4133388OtherAETNA
OH340008832OtherRAILROAD MEDICARE PALMETT