Individual
SCOTT BAGENSTOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5610 N HAMILTON RD, COLUMBUS, OH 43230-1324
(614) 933-0312
(614) 933-8903
Mailing address
1810 MACKENZIE DR FL 2, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35081229B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2523513
—
OH
Enumeration date
04/04/2006
Last updated
02/14/2025
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