Active NPI
Ishmael Tagoe, PA-C, PHD, MPA
- Physician Assistant
- Toledo, OH
National Provider Identifier
1962331348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1242411
- Practice address
- 2327 Chancery Rd
Toledo, OH 43617-1336 - Phone
- (419) 329-8464
- NPI assigned
- May 14, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1242411 | OH | Primary |
Addresses
Primary practice location
2327 Chancery Rd
Toledo, OH 43617-1336
Mailing address
2327 Chancery Rd
Toledo, OH 43617-1336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1242411 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1962331348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 CHANCERY RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 CHANCERY RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171336",
"telephone_number": "419-329-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGOE",
"first_name": "ISHMAEL",
"name_prefix": "Dr.",
"credential": "PA-C, PHD, MPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "1242411",
"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 May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.