Alexandrea K Kinney

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.008027RX Issued in OH

Practice address

4235 Secor Rd
Toledo, OH 43623-4299

Phone

(877) 342-7876

Fax

(419) 479-5427

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Toledo Clinic Incorporated

  • Surgery Physician
  • Toledo, OH
  • NPI 1144217894
  Medicare reassignment Care Compare group
• Toledo Clinic Incorporated

  • Clinical Medical Laboratory
  • Toledo, OH
  • NPI 1114079167
  NPD
• Toledo Clinic Incorporated

  • Clinical Medical Laboratory
  • Toledo, OH
  • NPI 1659631554
  NPD
• Toledo Clinic Incorporated

  • Podiatrist
  • Sylvania, OH
  • NPI 1952097073
  NPD
• Toledo Clinic Incorporated

  • Podiatrist
  • Toledo, OH
  • NPI 1457346462
  NPD (past)
• Toledo Clinic Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Oregon, OH
  • NPI 1518019587
  NPD (past)

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

• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1114688082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "877-342-7876",
            "fax_number": "419-479-5427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371921",
            "country_code": "US",
            "telephone_number": "877-342-7876",
            "fax_number": "419-479-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Commerce Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515239",
            "country_code": "US",
            "telephone_number": "877-342-7876",
            "fax_number": "419-479-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "ALEXANDREA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.008027RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Marleen Kinn-Southworth
• Jennifer-Erin Kinn, C.N.P.
• Kayloni Kinnebrew
• Takara Kinnebrew
• Karen Kinner
• Lisamarie Kinninger
• Joshua Kinsman
• Sarah Kinsman
• John P Kinson, DO
• Kintsukuroi Mental Health & Wellness Services LLC

• Medical Physician Assistant in Toledo, OH
• Providers in Toledo, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.

Verify at the official NPI Registry.