MEDICARE: AARION GROSS PHYSICIAN ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	50.007043RX	OH
2	363A00000X	Physician Assistant	PA221860	OR

General Provider Information

NPI Number	:	1386311611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARION GROSS PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	3333 GLENDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2426
Country	:	US
Telephone Number	:	419-383-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 GLENDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2426
Country	:	US
Telephone Number	:	419-383-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	12/09/2025

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