Provider Demographics
NPI:1538178298
Name:HAMLER, SCOTT T (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:T
Last Name:HAMLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 BOETTLER RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7792
Mailing Address - Country:US
Mailing Address - Phone:330-899-0693
Mailing Address - Fax:330-899-1502
Practice Address - Street 1:1700 BOETTLER RD
Practice Address - Street 2:STE. 200
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7792
Practice Address - Country:US
Practice Address - Phone:330-899-0693
Practice Address - Fax:330-899-1502
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35088078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2673656Medicaid
OH2673656Medicaid
OHHA7357931Medicare ID - Type Unspecified