Provider Demographics
NPI:1972376739
Name:PADILLO, ROMMEL PARCE (CNP)
Entity type:Individual
Prefix:
First Name:ROMMEL
Middle Name:PARCE
Last Name:PADILLO
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 HAMILTON MASON RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5307
Mailing Address - Country:US
Mailing Address - Phone:513-865-1690
Mailing Address - Fax:513-454-3053
Practice Address - Street 1:3055 HAMILTON MASON RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-5307
Practice Address - Country:US
Practice Address - Phone:513-865-1690
Practice Address - Fax:513-454-3053
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN329565163WG0000X
OH0038134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice