Healthcare Provider Details

I. General information

NPI: 1831030485
Provider Name (Legal Business Name): ABIGAIL MARIE GROSPITCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY GROSPITCH

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVE
CINCINNATI OH
45220-2489
US

IV. Provider business mailing address

14172 CATHERINE CT
NORTH ROYALTON OH
44133-5257
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-1400
  • Fax:
Mailing address:
  • Phone: 440-334-0219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: