Active NPI
Andrew J Jago, PA-C
- Physician Assistant
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007559RX
- 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
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 | 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, OH
- 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
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Toledo Urgent Cares, LLC. | Past | Accepting new patients |
Interoperability endpoints
- ajago@landmarkhealth-direct.org
- 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.
-
- Family Medicine Physician
- Milford, OH
- NPI 1588390942
-
- Family Medicine Physician
- Monroe, MI
- NPI 1902624455
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1982993010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.