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
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002026RX
OH
363AS0400X
Surgical Physician Assistant
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
07/07/2026
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