Active NPI
Joseph Paul Ocasio Jr., PA-C
- Physician Assistant
- Adrian, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008917
- Practice address
- 777 Kimole LN Ste 240
Adrian, MI 49221-1400 - Phone
- (517) 263-9491
- Fax
- (517) 263-9591
- NPI assigned
- Feb 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004998RX | OH | |
| Physician Assistant | 363A00000X | 5601008917 | MI | Primary |
Addresses
Primary practice location
777 Kimole LN Ste 240
Adrian, MI 49221-1400
Mailing address
24963 Reddington CT
Perrysburg, OH 43551-8881
Phone (440) 670-8891
Other practice location 1
4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone (419) 517-0146
Other practice location 2
3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206854 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jocasio133312@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Toledo College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491
777 Kimole LN
Adrian, MI 49221-1400
Hospital & facility affiliations
- Promedica Charles and Virginia Hickman Hospital
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.004998RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Current | Accepting new patients | |
| Greater Toledo Urgent Cares, LLC. | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Physician Assistant | Current | Accepting new patients |
| West Toledo Urgent Care LLC | Past | Accepting new patients |
Locations
L4189
Columbus, OH 43260
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270
3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1982993010
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Physician Assistant
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
-
- Urgent Care Clinic/Center
- Toledo, OH
- NPI 1952708000
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1639617673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24963 REDDINGTON CT",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435518881",
"telephone_number": "440-670-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN STE 240",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211400",
"telephone_number": "517-263-9491",
"fax_number": "517-263-9591"
}
],
"practiceLocations": [
{
"address_1": "4405 N Holland Sylvania Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233529",
"country_code": "US",
"telephone_number": "419-517-0146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Glendale Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142426",
"country_code": "US",
"telephone_number": "419-383-5555",
"fax_number": "419-383-3113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCASIO",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2023-11-03",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004998RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206854",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jocasio133312@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.