Active NPI
Paul Robert Brown, PA C
- Medical Physician Assistant
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085000868
- Practice address
- 2222 Cherry St
Mob 2 - Ste 1250 C/O Mercy Cardiothoracic Surgical
Toledo, OH 43608-2673 - Phone
- (419) 251-3180
- Fax
- (419) 251-3849
- NPI assigned
- Dec 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085000868 | IL | Primary |
| Surgical Physician Assistant | 363AS0400X | 50001371 | OH |
Addresses
Primary practice location
2222 Cherry St
Mob 2 - Ste 1250 C/O Mercy Cardiothoracic Surgical
Toledo, OH 43608-2673
Mailing address
449 Mockingbird CT
Lindenhurst, IL 60046-4933
Phone (847) 316-6844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50-001371 | Other | OH | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Cincinnati, OH 45219-2906
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000
Hospital & facility affiliations
- Christ Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085000868 | IL | MD | Medical Physician Assistant |
| 50001371 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital Cardiology Assoc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1497901458
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1285771345
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1508040312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 MOCKINGBIRD CT",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "600464933",
"telephone_number": "847-316-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CHERRY ST",
"address_2": "MOB 2 - STE 1250 C/O MERCY CARDIOTHORACIC SURGICAL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082673",
"telephone_number": "419-251-3180",
"fax_number": "419-251-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PAUL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085000868",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50001371",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "50-001371",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.