Healthcare Provider Details

I. General information

NPI: 1740785013
Provider Name (Legal Business Name): AARON MARTINEZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W LORAIN ST
OBERLIN OH
44074-1096
US

IV. Provider business mailing address

224 W LORAIN ST STE 100
OBERLIN OH
44074-1087
US

V. Phone/Fax

Practice location:
  • Phone: 440-775-1881
  • Fax:
Mailing address:
  • Phone: 440-775-1881
  • Fax: 440-774-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.014759
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: