Active NPI
Amanda M Zahn, MD
- Surgery Physician
- Oregon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 350887788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2752721 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azahn14010@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Elara Caring
- Promedica Charles and Virginia Hickman Hospital
- Bay Park Community Hospital
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 31 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 108 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350887788 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Surgery | Current | Accepting new patients |
| Promedica Central Physicians | Surgery | Current | Accepting new patients |
| Promedica Central Physicians | Current | 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
- 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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
MI, Surgery
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.