Healthcare Provider Details

I. General information

NPI: 1841524733
Provider Name (Legal Business Name): AARON Z GRABOVICH AA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2009
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S CLEVELAND AVE
WESTERVILLE OH
43081-8971
US

IV. Provider business mailing address

6780 CLEAR CREEK LOOP
POWELL OH
43065-8435
US

V. Phone/Fax

Practice location:
  • Phone: 614-898-6659
  • Fax: 614-898-8631
Mailing address:
  • Phone: 614-537-0859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number67.000158
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: