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PROMEDICA GENITO-URINARY SURGEONS LLC NPI 1366795221


NPI Information

NPI: 1366795221
Provider Name: PROMEDICA GENITO-URINARY SURGEONS LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
2120 W CENTRAL AVE
TOLEDO, OH
ZIP 43606
Phone: (419) 531-8558
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PROMEDICA GENITO-URINARY SURGEONS LLC is an urology in Toledo, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PROMEDICA GENITO-URINARY SURGEONS LLC NPI is 1366795221. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2120 W CENTRAL AVE
TOLEDO, OH
ZIP 43606-834
Phone: (419) 531-8558
Fax: (419) 531-8798

The provider's authorized official is Kristin Knueven .
The authorized official title is Supervisor and has the following contact phone number (567) 585-1969.

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyOHIONo
2363A00000XPhysician AssistantOHIONo
3363L00000XNurse PractitionerOHIONo
4367500000XNurse Anesthetist, Certified RegisteredOHIONo
5208800000XUrologyOHIOYes

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
10076667MEDICAIDOHIO

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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