Healthcare Provider Details

I. General information

NPI: 1548897085
Provider Name (Legal Business Name): HECTOR EDUARDO NAVA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 N HAMILTON RD
WESTERVILLE OH
43081-2062
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-6255
  • Fax: 614-293-8518
Mailing address:
  • Phone: 614-293-6255
  • Fax: 614-293-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006472RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: