Individual provider Active NPI

Maddison Metcalf, PA-C

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1609535962
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007986RX Issued in OH
Practice address
4126 N Holland Sylvania Rd Ste 105
Toledo, OH 43623-3541
Phone
(419) 479-5605
NPI assigned
Dec 14, 2021
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 50.007986RX OH Primary

Addresses

Primary practice location

4126 N Holland Sylvania Rd Ste 105
Toledo, OH 43623-3541

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327

Other practice location 1

1200 Medical Center Pkwy
Maumee, OH 43537-1921
Phone (419) 794-7720

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
I20230412002252 OH Practitioner - Physician Assistant 5294100855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4126 N Hollan D Rd
Toeldo, OH 43623-3536

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

6450 Wheatstone CT
Maumee, OH 43537-9402
Phone (419) 866-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007986RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Association of Toledo, Inc Current Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Mar 16, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc CurrentSince Nov 5, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. Past Accepting new patients
Neighborhood Health Association of Toledo Inc. Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Neighborhood Health Association of Toledo, Inc. Past Accepting new patients

Locations

225 N Irwin Rd
Holland, OH 43528
Phone (419) 214-4354

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

1020 Varland Ave
Toledo, OH 43605
Phone (419) 691-1429

117 Main St
Toledo, OH 43605
Phone (419) 691-1322

1415 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-5700

1425 Starr Ave
Toledo, OH 43605
Phone (419) 214-4673

313 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-1770

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

430 Nebraska Ave
Toledo, OH 43604
Phone (419) 671-5400

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

732 South Ave
Toledo, OH 43609
Phone (419) 241-6106

Organizations & group practices 13

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.

View all 13

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1609535962",
    "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": "436234231",
            "telephone_number": "419-479-5327",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD STE 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233541",
            "telephone_number": "419-479-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371921",
            "country_code": "US",
            "telephone_number": "419-794-7720",
            "fax_number": "419-724-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALF",
        "first_name": "MADDISON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007986RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.