Individual provider Active NPI

Philip Mernagh

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1619689932
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012517 Issued in MI
Practice address
3840 Woodley Rd Ste B
Toledo, OH 43606-1178
Phone
(877) 342-7876
Fax
(419) 479-5427
NPI assigned
Dec 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012517 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

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

702 Commerce Dr Ste 135
Perrysburg, OH 43551-5219
Phone (877) 342-7876

Other practice location 2

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

Other practice location 3

275 Eastland Rd
Berea, OH 44017-2005
Phone (440) 826-8012

Other practice location 4

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

Other identifiers 1

IdentifierTypeStateIssuer
0152812MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241009002101 MI Practitioner - Physician Assistant 6901337351 Reassigns benefits to 1 organization
I20251023000473 OH Practitioner - Physician Assistant 6901337351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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

702 Commerce Dr
Suite 135
Perrysburg, OH 43551-5239
Phone (419) 479-5469

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Oct 2, 2025 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Oct 2, 2025 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
University Physician Group CurrentSince Oct 1, 2024 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

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 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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1619689932",
    "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": "702 Commerce Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515219",
            "country_code": "US",
            "telephone_number": "877-342-7876",
            "fax_number": "419-479-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-745-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Eastland Rd",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440172005",
            "country_code": "US",
            "telephone_number": "440-826-8012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "MERNAGH",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012517",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.