Individual
MR. JASON RAABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9820
(937) 523-9829
Mailing address
457 THORBURN PL, GAHANNA, OH 43230-6847
(614) 961-9958
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007593
CT
363AS0400X
Surgical Physician Assistant
50002026
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373855
ANTHEM
OH
Enumeration date
12/03/2005
Last updated
03/25/2026
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