Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Reaven

Individual provider Anesthesiology Physician · NPI 1366862906

Andrew Reaven is an Anesthesiology in Newark, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2014, 12 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2014
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Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4218
Fax: (220) 564-4217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35.129596 (OH)

Record details

NPI number1366862906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESJuly 23, 2019
Mailing address1320 West Main Street, Newark, OH 43055-1822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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