Individual provider Active NPI

Drew Stephen Palermo

  • Physician Assistant
  • Perrysburg, OH
National Provider Identifier
1598306334
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006333RX Issued in OH
Practice address
1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762
Phone
(419) 872-3213
Fax
(419) 872-9549
NPI assigned
Oct 2, 2019
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 50.006333RX OH Primary

Addresses

Primary practice location

1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762

Mailing address

1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762
Phone (419) 872-3213

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
I20200608002528 OH Practitioner - Physician Assistant 2264853878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1762
Phone (419) 872-3213

1222 Pray Blvd
Waterville, OH 43566-8717
Phone (419) 964-5140

2222 Cherry St
Toledo, OH 43608-2675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Jun 30, 2020 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jun 30, 2020 Accepting new patients

Locations

1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • Direct secure messaging: dpalermo715375@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1598306334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR STE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762",
            "telephone_number": "419-872-3213",
            "fax_number": "419-872-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR STE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762",
            "telephone_number": "419-872-3213",
            "fax_number": "419-872-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "DREW",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006333RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.