Individual provider Active NPI

Wainwright Anthony Jaggernauth, MD

  • Radiation Oncology Physician
  • Maumee, OH
National Provider Identifier
1689670580
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.093044 Issued in OH
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

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02460520MedicaidNY
1689670580OtherMIMI MEDICAID-OH LOCATIONS
2949920MedicaidOH
1689670580MedicaidMI
P00746491OtherOHRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000005 OH Practitioner - Radiation Oncology 2062422470 Reassigns benefits to 3 organizations
Practice locations: Maumee, OH

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
Toledo Clinic PLLCGroup PAC ID 8426585142, 12 clinicians
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

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 Hospital, Toledo, OH, CCN 360048
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002001NYMDAcupuncturist
35.093044OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic PLLC CurrentSince Apr 22, 2025 Accepting new patients
University of Toledo Physicians LLC CurrentSince Jan 21, 2024 Accepting new patients
Toledo Clinic Incorporated CurrentSince Nov 1, 2023 Accepting new patients
Toledo Clinic PLLC CurrentSince Apr 22, 2025 Accepting new patients
Toledo Clinic Incorporated CurrentSince Nov 1, 2023 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.