Individual
SUSAN J. ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 W HIGH ST, SUITE 460, LIMA, OH 45801-3990
(419) 226-4300
(419) 226-4305
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-08-3337
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181653
UNISON MEDICAID
OH
01
—
000000310729
ANTHEM BCBS
—
01
—
1306890181
NPI
—
01
—
2500234
MOLINA MEDICAID
OH
05
—
3004898000
—
WV
01
—
310917085134
CARESOURCE MEDICAID
OH
01
—
P00066040
RR MEDICARE
—
Enumeration date
05/19/2006
Last updated
10/30/2014
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