Individual provider Active NPI

Jacob William Blanchett, DO

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1992445738
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.017794 Issued in OH
Practice address
3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone
(419) 407-2663
NPI assigned
Mar 30, 2022
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5151015493 MI
Emergency Medicine Physician 207P00000X 34.017794 OH Primary

Addresses

Primary practice location

3404 W Sylvania Ave
Toledo, OH 43623-4467

Mailing address

3404 W Sylvania Ave
Toledo, OH 43623-4467

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacob_blanchett@teamhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250508002153 OH Practitioner - Emergency Medicine 7113444589 Reassigns benefits to 4 organizations
I20250707000280 MI Practitioner - Emergency Medicine 7113444589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians
Mercy Emergency Care Services IncGroup PAC ID 9436475795, 64 clinicians

Practice addresses (Care Compare)

1075 Medical Ctr Pkwy
Maumee, OH 43537
Phone (567) 585-0800

18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

9870 Telegraph Rd
Taylor, MI 48180-3399
Phone (313) 291-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151015493MIMDEmergency Medicine Physician
34.017794OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
The Toledo Hospital CurrentSince Jul 1, 2025 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jul 1, 2025 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
The Toledo Hospital CurrentSince Jul 1, 2025 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

Interoperability endpoints

  • Direct secure messaging: jblanchett2242984@epic00.corewelldirect.org
  • Direct secure messaging: jblanchett461238@direct.hfhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1992445738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-407-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHETT",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5151015493",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.017794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob_blanchett@teamhealth.com",
            "affiliation": "N",
            "address_1": "3404 W Sylvania Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436234467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.