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PROMEDICA CENTRAL PHYSICIANS LLC NPI 1245444959


NPI Information

NPI: 1245444959
Provider Name: PROMEDICA CENTRAL PHYSICIANS, LLC

Doing Business As: PROMEDICA CHILDREN'S SPECIALISTS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
100 MADISON AVE
MSC-S38805
TOLEDO, OH
ZIP 43604
Phone: (567) 585-1969
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PROMEDICA CENTRAL PHYSICIANS, LLC is a pediatrics in Toledo, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PROMEDICA CENTRAL PHYSICIANS, LLC NPI is 1245444959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Children's Specialists.

The provider's business location address is:

100 MADISON AVE
MSC-S38805
TOLEDO, OH
ZIP 43604-531
Phone: (567) 585-1969

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

The enumeration date for this NPI number is 5/10/2007 and was last updated on 1/22/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyNo
22080P0203XPediatricsPediatric Critical Care MedicineNo
32080P0205XPediatricsPediatric EndocrinologyNo
42080P0206XPediatricsPediatric GastroenterologyNo
5207X00000XOrthopaedic SurgeryNo
62080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
72080P0207XPediatricsPediatric Hematology-OncologyNo
82086S0120XSurgeryPediatric SurgeryNo
9208000000XPediatricsOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12763620MEDICAIDOHIO

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

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