Individual provider Active NPI

Andrew J Jago, PA-C

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1730849779
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007559RX Issued in OH
Practice address
4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone
(567) 803-0426
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 5601010625 MI
Physician Assistant 363A00000X 50.007559RX OH Primary

Addresses

Primary practice location

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529

Mailing address

6676 Keithcrest Dr
Temperance, MI 48182-1229
Phone (315) 767-2784

Other practice location 1

7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-4664

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
I20220106001572 MI Practitioner - Physician Assistant 0143611871 Reassigns benefits to 1 organization
I20250320000599 OH Practitioner - Physician Assistant 0143611871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

3626 S Detroit Ave
Toledo, OH 43614-4412
Phone (419) 272-6020

505 Trenton Ave
Findlay, OH 45840-3749
Phone (419) 463-9050

7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-4664

Hospital & facility affiliations

  • 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
Greater Toledo Urgent Cares, LLC. PastSince Feb 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ajago@landmarkhealth-direct.org
  • Direct secure messaging: ajago2795638@direct.bsmhealth.org

Organizations & group practices 3

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 1

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1730849779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6676 KEITHCREST DR",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821229",
            "telephone_number": "315-767-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233529",
            "telephone_number": "567-803-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7224 Dutch Rd",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435669831",
            "country_code": "US",
            "telephone_number": "419-517-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGO",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010625",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007559RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.