Active NPI
Wainwright Anthony Jaggernauth, MD
- Radiation Oncology Physician
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35.093044
- Practice address
- 1200 Medical Center Pkwy
Maumee, OH 43537-1921 - Phone
- (419) 794-7720
- NPI assigned
- Jun 24, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 002001 | NY | |
| Radiation Oncology Physician | 2085R0001X | 4301093974 | MI | |
| Radiation Oncology Physician | 2085R0001X | 35.093044 | OH | Primary |
Addresses
Primary practice location
1200 Medical Center Pkwy
Maumee, OH 43537-1921
Mailing address
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561
Other practice location 1
524 W High St
Bryan, OH 43506-1618
Phone (419) 636-9800
Other practice location 2
1325 Conference Dr Ste 1060
Toledo, OH 43614-8009
Phone (419) 383-4541
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02460520 | Medicaid | NY | |
| 1689670580 | Other | MI | MI MEDICAID-OH LOCATIONS |
| 2949920 | Medicaid | OH | |
| 1689670580 | Medicaid | MI | |
| P00746491 | Other | OH | RR MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1090 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200
1325 Conference Dr
Toledo, OH 43614-8009
Phone (419) 383-6644
Hospital & facility affiliations
- University of Toledo Medical Center
- Fulton County Health Center
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002001 | NY | MD | Acupuncturist |
| 35.093044 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Clinic PLLC | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic PLLC | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Cancer Network of West Central Ohio | Past | Accepting new patients | |
| Cancer Network of West Central Ohio | Past | Accepting new patients |
Locations
777 Kimole Ln
Adrian, MI 49221
Phone (517) 263-3393
800 Stewart Rd
Monroe, MI 48162
Phone (734) 240-1800
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
960 W Wooster St
Ste 107
Bowling Green, OH 43402
Phone (419) 354-8900
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
L4189
Columbus, OH 43260
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720
5805 Monclova Rd
Maumee, OH 43537
Phone (419) 824-1952
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
1325 Conference Dr
Ste 1060
Toledo, OH 43614
Phone (419) 383-4541
1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
1090 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200
725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015
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.
-
- Dermatology Physician
- Wauseon, OH
- NPI 1326538703
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- Surgery Physician
- Toledo, OH
- NPI 1144217894
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
-
- Dermatology Physician
- Lambertville, MI
- NPI 1700842796
-
- Radiation Oncology Clinic/Center
- Celina, OH
- NPI 1053348904
-
- Radiation Oncology Clinic/Center
- Bellefontaine, OH
- NPI 1932139607
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wauseon, OH
- NPI 1548279714
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- 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": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1689670580",
"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": "1200 MEDICAL CENTER PKWY",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371921",
"telephone_number": "419-794-7720"
}
],
"practiceLocations": [
{
"address_1": "524 W High St",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "OH",
"postal_code": "435061618",
"country_code": "US",
"telephone_number": "419-636-9800",
"fax_number": "419-636-0451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 Conference Dr Ste 1060",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436148009",
"country_code": "US",
"telephone_number": "419-383-4541",
"fax_number": "419-383-3040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAGGERNAUTH",
"first_name": "WAINWRIGHT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "002001",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301093974",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35.093044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02460520",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID-OH LOCATIONS",
"identifier": "1689670580",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2949920",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689670580",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00746491",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.