PROMEDICA CENTRAL PHYSICIANS NPI 1043270150

NPI Information

NPI: 1043270150
Provider Name: PROMEDICA CENTRAL PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 MADISON AVE
MSC-S38805
TOLEDO, OH
ZIP 43604
Phone: (567) 585-1964
Get Directions

PROMEDICA CENTRAL PHYSICIANS is a family medicine in Toledo, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROMEDICA CENTRAL PHYSICIANS NPI is 1043270150. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MADISON AVE
MSC-S38805
TOLEDO, OH
ZIP 43604-531
Phone: (567) 585-1964

The provider's authorized official is Tanya Wines .
The authorized official title is Director, Credentialing and has the following contact phone number (567) 585-0422.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	152W00000X	Optometrist		MICHIGAN	No
2	207R00000X	Internal Medicine		OHIO	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	OHIO	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	OHIO	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	MICHIGAN	No
6	207RS0012X	Internal Medicine	Sleep Medicine	OHIO	No
7	207RS0012X	Internal Medicine	Sleep Medicine	MICHIGAN	No
8	207V00000X	Obstetrics & Gynecology		OHIO	No
9	207W00000X	Ophthalmology		MICHIGAN	No
10	207Y00000X	Otolaryngology		OHIO	No
11	208600000X	Surgery		OHIO	No
12	2086S0129X	Surgery	Vascular Surgery	MICHIGAN	No
13	363A00000X	Physician Assistant		OHIO	No
14	363L00000X	Nurse Practitioner		OHIO	No
15	207Q00000X	Family Medicine		OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0999273	MEDICAID	OHIO
2	CI3157	OTHER	OHIO	RRMC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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