Individual provider Active NPI

Shawn P Brewer, CAA

  • Anesthesiologist Assistant
  • Toledo, OH
National Provider Identifier
1518536291
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000405 Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4299
Phone
(419) 473-3561
NPI assigned
Jun 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 32697893 TX
Anesthesiologist Assistant 367H00000X 67.000405 OH Primary

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4299

Mailing address

7757 Auburn Rd Ste 15
Concord Township, OH 44077-9604
Phone (440) 350-0832

Other practice location 1

5901 Monclova Rd
Maumee, OH 43537-1841
Phone (440) 350-0832

Other practice location 2

3330 Meijer Dr
Toledo, OH 43617-3103
Phone (419) 539-6323

Other practice location 3

6720 Bertner Ave
Houston, TX 77030-2604
Phone (832) 355-2666

Other practice location 4

135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-4700

Other practice location 5

3330 Meijer Dr
Toledo, OH 43617-3103
Phone (419) 578-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210804002330 OH Practitioner - Anesthesiology Assistant 6901200534 Reassigns benefits to 3 organizations
I20230621000602 TX Practitioner - Anesthesiology Assistant 6901200534 Reassigns benefits to 1 organization
I20231106000200 MI Practitioner - Anesthesiology Assistant 6901200534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
A4 of Ohio LLCGroup PAC ID 3971837188, 33 clinicians

Practice addresses (Care Compare)

135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-4700

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 473-3561

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
32697893TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2021 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Apr 4, 2023 Accepting new patients
University of Toledo Physicians LLC CurrentSince Sep 3, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Apr 4, 2023 Accepting new patients
A4 of Ohio, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Anesthesia Associates, PLL CurrentSince Jun 22, 2021 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3330 Meijer Dr
Toledo, OH 43617
Phone (419) 539-6323

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

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

3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 8

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 3

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1518536291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 AUBURN RD STE 15",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779604",
            "telephone_number": "440-350-0832",
            "fax_number": "440-579-0167"
        },
        {
            "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": "419-473-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Monclova Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371841",
            "country_code": "US",
            "telephone_number": "440-350-0832",
            "fax_number": "440-579-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173103",
            "country_code": "US",
            "telephone_number": "419-539-6323",
            "fax_number": "419-383-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6720 Bertner Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "832-355-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 S Prospect St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481987914",
            "country_code": "US",
            "telephone_number": "734-547-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173103",
            "country_code": "US",
            "telephone_number": "419-578-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SHAWN",
        "middle_name": "P",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": "32697893",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.