Individual provider Active NPI

Anna Leigh Mazur

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1225769326
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3840 Woodley Rd Ste B
Toledo, OH 43606-1178
Phone
(877) 342-7876
Fax
(419) 479-5427
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3840 Woodley Rd Ste B
Toledo, OH 43606-1178

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

1200 Medical Center Pkwy
Maumee, OH 43537-1921
Phone (877) 342-7876

Other practice location 2

702 Commerce Dr Ste 135
Perrysburg, OH 43551-5239
Phone (877) 342-7876

Other identifiers 1

IdentifierTypeStateIssuer
0070149MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241206003352 OH Practitioner - Physician Assistant 1456887967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

3840 Woodley Rd
Suite B
Toledo, OH 43606-1178
Phone (419) 479-5469

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Sep 26, 2024 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Sep 26, 2024 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

702 Commerce Dr
Ste 135
Perrysburg, OH 43551
Phone (419) 479-5469

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

3840 Woodley Rd
Ste B
Toledo, OH 43606
Phone (419) 474-2300

Organizations & group practices 6

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 2

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1225769326",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WOODLEY RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061178",
            "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": "MAZUR",
        "first_name": "ANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.