Provider Demographics
NPI:1992266696
Name:MCCLAIN, REBEKAH (DO)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 LAKE SHORE DR STE 350
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-4895
Mailing Address - Country:US
Mailing Address - Phone:614-659-9519
Mailing Address - Fax:614-885-7146
Practice Address - Street 1:7450 HOSPITAL DR STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-2208
Practice Address - Country:US
Practice Address - Phone:614-659-9519
Practice Address - Fax:614-885-7146
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34016521207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics