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PROMEDICA CENTRAL PHYSICIANSLLC NPI 1548461288


NPI Information

NPI: 1548461288
Provider Name: PROMEDICA CENTRAL PHYSICIANS,LLC

Doing Business As: PEDIATRIC PULMONARY ASSOCIATES

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

CLIA Number: 36D2296030

Address:
2121 HUGHES DR
SUITE 640
TOLEDO, OH
ZIP 43606
Phone: (419) 291-2207
Get Directions

PROMEDICA CENTRAL PHYSICIANS,LLC is a pediatric pulmonology pediatrics in Toledo, OH. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. PROMEDICA CENTRAL PHYSICIANS,LLC NPI is 1548461288. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Pulmonary Associates.

The provider's business location address is:

2121 HUGHES DR
SUITE 640
TOLEDO, OH
ZIP 43606-845
Phone: (419) 291-2207
Fax: (419) 479-6998

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

The CLIA number assigned to this NPI record is 36D2296030 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 2/5/2021.


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
12080P0214XPediatricsPediatric PulmonologyYes

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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