Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Jo Hennessy

Individual provider Physician Assistant · NPI 1629403134

Amy Jo Hennessy is a Physician Assistant in Toledo, Ohio. Qualified in 2013, 13 years ago. Practices with Mounir Boutros MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

5951 Renaissance Pl
Toledo, OH 43623
Phone: (419) 824-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003789RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 003789

Record details

NPI number1629403134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2013
Last updated in NPPESAugust 22, 2019
Mailing address5951 Renaissance Pl, Toledo, OH 43623-4722

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mounir Boutros Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Toledo