Individual provider Active NPI

Amanda M Zahn, MD

  • Surgery Physician
  • Oregon, OH
National Provider Identifier
1104020940
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
350887788 Issued in OH
Practice address
2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922
Phone
(419) 693-0711
Fax
(419) 693-2320
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301108892 MI
Surgery Physician 208600000X 350887788 OH Primary

Addresses

Primary practice location

2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (419) 693-0711

Other practice location 1

214 E Elm Ave Ste 101
Monroe, MI 48162-2678
Phone (734) 243-9620

Other practice location 2

2702 Navarre Ave
Suite 310
Oregon, OH 43616-3223
Phone (419) 972-9943

Other identifiers 1

IdentifierTypeStateIssuer
2752721MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azahn14010@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070815000339 OH Practitioner - General Surgery 7517059934 Reassigns benefits to 1 organization
I20160915001723 MI Practitioner - General Surgery 7517059934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Toledo College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2751 Bay Park Dr
Suite 201
Oregon, OH 43616-4922
Phone (419) 690-8832

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

818 Riverside Ave
Adrian, MI 49221-1446
Phone (517) 265-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux31
Melanoma (skin cancer) excision1-10
Removal of tissue108
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
350887788OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Surgery CurrentSince Dec 16, 2025 Accepting new patients
Promedica Central Physicians Surgery CurrentSince Aug 1, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

5640 N Adrian Hwy
Ste C
Adrian, MI 49221

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

214 E Elm Ave
Ste 101
Monroe, MI 48162
Phone (734) 243-9620

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

2751 Bay Park Dr
Ste 201
Oregon, OH 43616
Phone (419) 690-8811

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: azahn14010@direct.promedica.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1104020940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-693-0711",
            "fax_number": "419-693-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "419-693-0711",
            "fax_number": "419-693-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Elm Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622678",
            "country_code": "US",
            "telephone_number": "734-243-9620",
            "fax_number": "734-243-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2702 Navarre Ave",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163223",
            "country_code": "US",
            "telephone_number": "419-972-9943",
            "fax_number": "419-693-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301108892",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "350887788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752721",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azahn14010@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.