Provider Demographics
NPI:1801014238
Name:GRAWE, KATHARINE ROXANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:ROXANNE
Last Name:GRAWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:ROXANNE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3982 POWELL RD. SUITE 127
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065
Mailing Address - Country:US
Mailing Address - Phone:614-764-7699
Mailing Address - Fax:614-764-2664
Practice Address - Street 1:10330 SAWMILL PKWY
Practice Address - Street 2:SUITE 450
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7790
Practice Address - Country:US
Practice Address - Phone:614-764-7699
Practice Address - Fax:614-764-2664
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-0108172086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery